Provider Demographics
NPI:1144294752
Name:HOPPER, ORLIN (MD)
Entity type:Individual
Prefix:
First Name:ORLIN
Middle Name:
Last Name:HOPPER
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE249722085R0202X
KS04-362382085R0202X
HIMD175492085R0202X
CO425822085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1144294752Medicaid
AL009981085Medicaid
NE10025709000Medicaid
MO1144294752Medicaid
CT1144294752Medicaid
OH2934614Medicaid
AZ373593Medicaid
GA378824435AMedicaid
KS200417210AMedicaid
NC7617661Medicaid
CA1144294752Medicaid
IA1144294752Medicaid
NV1144294752Medicaid
MO207362609Medicaid
TX312185701Medicaid
NM62987771Medicaid
UT1144294752Medicaid
CO56708211Medicaid
AKMD584COMedicaid
MI104693118Medicaid
MT1144294752Medicaid
IL1144294752Medicaid
WY119960900Medicaid
OK200425910AMedicaid
KY7100098430Medicaid
NE84-059792913Medicaid
WI99112117Medicaid
KY7100098430Medicaid
MI104693118Medicaid
MO207362609Medicaid
KSP01366588Medicare PIN
NECO40655Medicare PIN
COP00322789Medicare PIN
NENA2517015Medicare PIN
MT1144294752Medicaid
KS200417210AMedicaid
TX312185701Medicaid
NC7617661Medicaid
NENA1215004Medicare PIN
COCO40655Medicare PIN
COP00140237Medicare PIN
AZ373593Medicaid
UT1144294752Medicaid
IL1144294752Medicaid
CO391550ZLJ3Medicare PIN
COC534688Medicare PIN