Active NPI
Eric Jernigan, MD
- Surgery Physician
- Glenwood Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DR.0073812
- Practice address
- 1906 Blake Ave
Glenwood Springs, CO 81601-4227 - Phone
- (970) 627-6675
- NPI assigned
- Mar 29, 2019
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DR.0073812 | CO | Primary |
Addresses
Primary practice location
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Mailing address
2501 Cisar CT Apt 1E
Glenwood Springs, CO 81601-4169
Phone (970) 596-3485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-6533
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0073812 | CO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
Interoperability endpoints
- eric.jernigan.1@9028.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Spine Center at Valley View
- Neurological Surgery Physician
- Aspen, CO
- NPI 1376134841
-
dba The Heart and Vascular Center
- Cardiovascular Disease Physician
- Glenwood Springs, CO
- NPI 1437271285
-
dba Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
dba The Spine Center at Valley View
- Neurological Surgery Physician
- Carbondale, CO
- NPI 1700420536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley View Surgery Center at Basalt
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1003377169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 CISAR CT APT 1E",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014169",
"telephone_number": "970-596-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 BLAKE AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014227",
"telephone_number": "970-627-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0073812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.