Jandyco, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

44011 Issued in CO

Legal business name

JANDYCO, LLC

Practice address

509 Colorado Ave Ste C
Pueblo, CO 81004-2008

Phone

(719) 696-9828

Fax

(719) 696-9862

NPI assigned

Dec 28, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jamie M Pollock, M.D.NPI 1356470876

Title

Owner/ Physician

Phone

(719) 214-2005

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie M. Pollock, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1356470876
  Medicare reassignment NPD Authorized official
• Barrett Michael Allen, FNP-C

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1407547193

  Single Specialty

  NPD (past)
• Briana Belisle, FNP- BC, AGACNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1285140400
  NPD (past)
• Alicia Hennessee, FNP, AGACNP, DNP

  • Family Nurse Practitioner
  • Erie, CO
  • NPI 1174176457
  NPD (past)
• Katharine Julia Leppard, M.D.

  • Specialist
  • Colorado Springs, CO
  • NPI 1811940067
  NPD (past)
• Carol Ann Reimers, APN

  • Nurse Practitioner
  • Pueblo, CO
  • NPI 1124404363
  NPD (past)
• Timothy Vaughn Sandell, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Colorado Springs, CO
  • NPI 1679522254
  NPD (past)
• Peggi Torguson, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1366419582
  NPD (past)
• Christopher Dean Trujillo, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Pueblo, CO
  • NPI 1518206531
  NPD (past)
• Robert C McLean, MD

  • Otolaryngology Physician
  • Bartow, FL
  • NPI 1558364398
  NPD (past)

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346586088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 COLORADO AVE STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042008",
            "telephone_number": "719-214-2005",
            "fax_number": "719-696-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COLORADO AVE STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042008",
            "telephone_number": "719-696-9828",
            "fax_number": "719-696-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANDYCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "719-214-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "44011",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "44011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29732581",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Cover D.D.S., PC
• James F Pagel MD (Rocky Mountain Sleep Disorder Ctr)
• James W. Garland D.O. LLC
• Donovan C James, M.D.
• Terry James
• Jane Graham
• Janelle's Massage Therapy LLC
• Misha Jannat
• Cindy L Jaquez
• Rowell Tomas Jaquez

• Addiction Medicine (Family Medicine) Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Addiction Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.