1457322927 NPI number — JOHN M JAMES MD

Table of content: JOHN M JAMES MD (NPI 1457322927)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457322927 NPI number — JOHN M JAMES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JAMES
Provider First Name:
JOHN
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457322927
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1136 E STUART ST
Provider Second Line Business Mailing Address:
BUILDING 3, SUITE 3200
Provider Business Mailing Address City Name:
FORT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80525-1195
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-221-1681
Provider Business Mailing Address Fax Number:
970-221-0948

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 RAMPART WAY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80230-6406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-858-7600
Provider Business Practice Location Address Fax Number:
720-858-7605
Provider Enumeration Date:
01/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  36090 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X , with the licence number: 6005A , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 94233365 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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