Kimberly D'Eramo, D.O.
Individual provider Active NPI Public Health & General Preventive Medicine Physician · Hesperus, CO
NPI 1215037403 · NPPES record last updated Aug 17, 2016
Key facts
- NPI
- 1215037403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- License
- DR.0055899 (CO)
- Practice address
- 1022 Heritage Rd
Hesperus, CO 81326-8709 - Phone
- (678) 602-0400
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055899 | CO | MD | Public Health & General Preventive Medicine Physician |
| 1837 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Past | Accepting new patients | |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | DR.0055899 | CO | Yes |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 239622 | MA |
Addresses
Primary practice location
1022 Heritage Rd
Hesperus, CO 81326-8709
Mailing address
PO Box 957
Durango, CO 81302-0957
Phone (678) 602-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 843825299B | Medicaid | GA |
Other providers in Hesperus, CO
- Jennifer Shannon Allton
- Katrina H Feldman
- Fort Lewis Mesa Fire Protection District
- Summer Macon
- Heather Valerie Raymo
- Silver Mountain Psychotherapy, LLC
All providers in Hesperus, CO · Public Health & General Preventive Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.