NPIMap

Organization Active NPI

Jennifer D Cecil MD PLLC

  • Ophthalmology Physician
  • Loveland, CO
National Provider Identifier
1093868564
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32604 Issued in CO
Legal business name
JENNIFER D CECIL MD PLLC
Practice address
2902 Ginnala Dr
Suite 1
Loveland, CO 80538-7817
Phone
(970) 669-8998
Fax
(970) 669-8693
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Diane Cecil, M.D.
Title
Owner
Phone
(970) 669-8998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 32604 CO Primary

Addresses

Primary practice location

2902 Ginnala Dr
Suite 1
Loveland, CO 80538-7817

Mailing address

2902 Ginnala Dr
Suite 1
Loveland, CO 80538-7817
Phone (970) 669-8998

Other identifiers 3

IdentifierTypeStateIssuer
CK2709OtherCOMEDICARE RAILROAD
1201020001OtherCOPTAN
01326040MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1093868564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 GINNALA DR",
            "address_2": "SUITE 1",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387817",
            "telephone_number": "970-669-8998",
            "fax_number": "970-669-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 GINNALA DR",
            "address_2": "SUITE 1",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387817",
            "telephone_number": "970-669-8998",
            "fax_number": "970-669-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER D CECIL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-669-8998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "32604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2709",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1201020001",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01326040",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.