Active NPI
Jeffrey A Wuerker, M.D.
- Emergency Medicine Physician
- Glenwood Springs, CO
National Provider Identifier
1053484063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0037406
- Practice address
- 1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288 - Phone
- (970) 945-2840
- Fax
- (970) 945-2893
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0037406 | CO | Primary |
Addresses
Primary practice location
1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288
Mailing address
1905 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4288
Phone (970) 945-2840
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO37406 | Other | CO | COLORADO LICENSE |
| VAH2004 | Other | CO | BCBS PROVIDER |
| 71728333 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0037406 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Valley Hospital District | Past | Accepting new patients | |
| Community Medical Group, LLC | Past | Accepting new patients | |
| Travis W. Martin, M.D. P.C. | Emergency Medicine | Past | Accepting new patients |
| Colorados Urgentcare LLC | Past | Accepting new patients | |
| Trinidad Area Health Association | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Glenwood Springs, CO
- NPI 1508186800
-
- Clinic/Center
- Snowmass Village, CO
- NPI 1710942495
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
-
- Emergency Medicine Physician
- Glenwood Springs, CO
- NPI 1932349693
-
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1053484063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE",
"address_2": "SUITE 101",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014288",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 BLAKE AVE",
"address_2": "SUITE 101",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014288",
"telephone_number": "970-945-2840",
"fax_number": "970-945-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUERKER",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "0037406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO LICENSE",
"identifier": "CO37406",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "VAH2004",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71728333",
"state": "CO"
}
],
"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 May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.