Kieran M Jay, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

31910 Issued in CO

Practice address

611 E Star CT a
Montrose, CO 81401-6701

Phone

(970) 249-4321

Fax

(970) 249-2339

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Montrose Surgical Associates PC

  • Specialist
  • Montrose, CO
  • NPI 1225096779
  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1265480131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E STAR CT A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-249-4321",
            "fax_number": "970-249-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E STAR CT A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016701",
            "telephone_number": "970-249-4321",
            "fax_number": "970-249-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "KIERAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "31910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "31910",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTA GBA RAILROAD MED",
            "identifier": "P00324337",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01319102",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intermountain Medical Group Grand Junction, LLC (SMMG Satellite - Neurosurgery Montrose)
• Intermountain Pathologists PC
• Emily Izzo
• Andrea Lee Jaeger, CMT, CMMP
• James Construction
• Jeffrey J Krebs, DO, PC
• Cory F Jenkins
• Jennifer M Johannes DO PLLC
• Alyssa Nicole Jennings, PMHNP-BC
• Jessica Howell

• Specialist in Montrose, CO
• Providers in Montrose, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.