Individual provider Active NPI

Jared James White, D.O., PA-C

  • Orthopaedic Surgery Physician
  • Aurora, CO
National Provider Identifier
1326129461
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR.0055441 Issued in CO
Practice address
1700 Wheeling St
Aurora, CO 80045-7211
Phone
(720) 857-5580
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101018188 MI
Orthopaedic Surgery Physician 207X00000X 34.011200 OH
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X CDRH.0055441 CO
Medical Physician Assistant 363AM0700X 008895-1 NY
Orthopaedic Surgery Physician 207X00000X DR.0055441 CO Primary

Addresses

Primary practice location

1700 Wheeling St
Aurora, CO 80045-7211

Mailing address

1700 Wheeling St
Aurora, CO 80045-7211
Phone (720) 857-5580

Other identifiers 1

IdentifierTypeStateIssuer
10223517MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002345 CO Practitioner - Orthopedic Surgery 3476508268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1600

1610 Prairie Ctr Pkwy
Suite 2200
Brighton, CO 80601-4008
Phone (303) 498-1885

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

  • Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5101018188MIMDOrthopaedic Surgery Physician
34.011200OHMDOrthopaedic Surgery Physician
CDRH.0055441COMDSports Medicine (Orthopaedic Surgery) Physician
008895NYMDSpeech-Language Pathologist
008895-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Mar 18, 2024 Accepting new patients
Jared White,DO PLLC Orthopaedic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1326129461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WHEELING ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457211",
            "telephone_number": "720-857-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WHEELING ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457211",
            "telephone_number": "720-857-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018188",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34.011200",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "CDRH.0055441",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008895-1",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0055441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10223517",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.