Active NPI
Jerome S Collins, MD
- Surgery Physician
- Loveland, CO
National Provider Identifier
1205895646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23898
- Practice address
- 1900 Boise Ave
Ste 420
Loveland, CO 80538-5004 - Phone
- (970) 669-3212
- NPI assigned
- Mar 23, 2006
- Last updated
- Oct 7, 2010
- 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 | 23898 | CO | Primary |
Addresses
Primary practice location
1900 Boise Ave
Ste 420
Loveland, CO 80538-5004
Mailing address
1900 Boise Ave
Ste 420
Loveland, CO 80538-5004
Phone (970) 669-3212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01238989 | 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 |
|---|---|---|---|
| 23898 | CO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1205895646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 BOISE AVE",
"address_2": "STE 420",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385004",
"telephone_number": "970-669-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 BOISE AVE",
"address_2": "STE 420",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385004",
"telephone_number": "970-669-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JEROME",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "23898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01238989",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
- Sheena Marie Colburn, LCSW
- Rachel B Cole, PT, DPT
- David R Coleman, PA-C
- Kathryn Collamore, PHARM.D., RPH
- Megan Lindsay Collett, RN, FNP-C
- Mackenzie Collins
- Colorado Assisted Living at Ptarmigan Run LLC
- Colorado Behavior Solutions LLC
- Colorado Building Automation & Security (CBAS, Inc)
- Colorado Choice Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.