David Jaramillo

Primary specialty

PodiatristTaxonomy code 213E00000X

License

105077-0501 Issued in UT

Practice address

3355 N University Ave Ste 175
Provo, UT 84604-6620

Phone

(801) 377-5649

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Podiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO
• UT PPO D-SNP

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.

• Ellsworth Foot and Ankle Clinic

  • Podiatrist
  • Provo, UT
  • NPI 1932878030
  NPD
• Ellsworth Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Riverton, UT
  • NPI 1942549795
  NPD
• Central Valley Medical Center

  • Family Medicine Physician
  • Nephi, UT
  • NPI 1992724975
  NPD (past)
• Kelly a Gomez DPM PC

  • Podiatric Clinic/Center
  • Provo, UT
  • NPI 1306092812
  NPD (past)
• Therapy West LLC

  • Physical Therapist
  • Gunnison, UT
  • NPI 1184678070
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1154437655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 N UNIVERSITY AVE STE 175",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046620",
            "telephone_number": "801-377-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 N UNIVERSITY AVE STE 175",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046620",
            "telephone_number": "801-377-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "105077-0501",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "105077-0501",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "UT",
            "license": "105077--0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "105077-0501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Jon James, PT
• Rosetta Jameson, RPH
• Jamestown Eye Care Center LLC
• John Jamison
• Heather Janis
• Joshua Jaramillo, MD
• Todd Joseph Jaramillo, DPM
• Jardine Alliance PLLC
• Mark Jardine, DDS
• Morgan Jarman

• Podiatrist in Provo, UT
• Providers in Provo, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.

Verify at the official NPI Registry.