Provider Demographics
NPI:1053366385
Name:FALCI, SCOTT PAUL (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:PAUL
Last Name:FALCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3425 S CLARKSON ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2811
Mailing Address - Country:US
Mailing Address - Phone:303-761-5281
Mailing Address - Fax:303-761-5282
Practice Address - Street 1:601 E HAMPDEN AVE STE 250
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2781
Practice Address - Country:US
Practice Address - Phone:303-761-5281
Practice Address - Fax:303-761-5282
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO31872207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01318724Medicaid
FL906820100Medicaid
TX0772253-01Medicaid
WY109719900Medicaid
GA00737877XMedicaid
KS2050760101Medicaid
CO04012746Medicaid
MT101881Medicaid
IA0961136Medicaid
ID002916600Medicaid
ND10862Medicaid
SD7765941Medicaid
NE84123537300Medicaid