Active NPI
Jennifer Stroh DO Family Medicine
- Primary Care Clinic/Center
- Grand Junction, CO
National Provider Identifier
1295166072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 41942
- Legal business name
- JENNIFER STROH DO FAMILY MEDICINE
- Practice address
- 2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901 - Phone
- (970) 256-1664
- Fax
- (970) 256-1707
- NPI assigned
- Dec 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Stroh, D.O.
- Title
- Owner
- Phone
- (970) 256-1664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 41942 | CO | Primary |
Addresses
Primary practice location
2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901
Mailing address
2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901
Phone (970) 256-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53307577 | Medicaid | CO |
Other names 1
- Jennifer Stroh DO LLC
National Provider Directory
National Provider DirectoryLocations
3464 S Willow St
#536
Denver, CO 80231
Interoperability endpoints
- https://api.platform.athenahealth.com/11719/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443744000000",
"number": "1295166072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 N 12TH ST",
"address_2": "SUITE 2",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012901",
"telephone_number": "970-256-1664",
"fax_number": "970-256-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 N 12TH ST",
"address_2": "SUITE 2",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012901",
"telephone_number": "970-256-1664",
"fax_number": "970-256-1707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER STROH DO FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-04",
"last_updated": "2015-10-02",
"status": "A",
"authorized_official_last_name": "STROH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-256-1664",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CO",
"license": "41942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "53307577",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jennifer Stroh DO LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.