Jon Glenn Shick, DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39612 Issued in CO

Practice address

7850 Vance Dr
#185
Arvada, CO 80003

Phone

(303) 423-0535

Fax

(303) 422-3881

NPI assigned

Oct 5, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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.

• Jon G. Shick, D.O., LLC

  • Family Medicine Physician
  • Arvada, CO
  • NPI 1568653236
  NPD (past) Authorized official
• Jacqueline Woodrum, DO,PC

  • Family Medicine Physician
  • Westminster, CO
  • NPI 1982893533
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265529044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR",
            "address_2": "#185",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-423-0535",
            "fax_number": "303-422-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR",
            "address_2": "#185",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80003",
            "telephone_number": "303-423-0535",
            "fax_number": "303-422-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHICK",
        "first_name": "JON",
        "middle_name": "GLENN",
        "credential": "DO LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42004772",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Irene Sheiner, MSN, FNP, NP-C
• Deborah K Shelton, M.A., LPC, LMHC, NCC
• Jennifer Johanna Shelton, CCMA
• Lydia Chanel Shemwell
• Michael Edward Shepherd, RN
• Shine on Occupational Therapy for Kids
• Sara Shine, LPC
• Samantha Julianne Shoenhair
• Christine Therese Shott, P.T
• Zachary Shpall, M.D.

• Family Medicine Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.