Active NPI
Jasmeliz Lugtu Ciardella, MD
- Ophthalmology Physician
- Denver, CO
National Provider Identifier
1376769653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 41965
- Practice address
- 777 Bannock Street
Denver Health Medical Center Dept of Ophthamology
Denver, CO 80204 - Phone
- (303) 436-3448
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 41965 | CO | Primary |
Addresses
Primary practice location
777 Bannock Street
Denver Health Medical Center Dept of Ophthamology
Denver, CO 80204
Mailing address
1401 Wewatta St
Unit #1204
Denver, CO 80202
Phone (303) 825-5858
Other names 1
- Jasmeliz Manzon Lugtu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41965 | CO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1790732352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376769653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 WEWATTA ST",
"address_2": "UNIT #1204",
"city": "DENVER",
"state": "CO",
"postal_code": "80202",
"telephone_number": "303-825-5858",
"fax_number": "303-825-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK STREET",
"address_2": "DENVER HEALTH MEDICAL CENTER DEPT OF OPHTHAMOLOGY",
"city": "DENVER",
"state": "CO",
"postal_code": "80204",
"telephone_number": "303-436-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARDELLA",
"first_name": "JASMELIZ",
"middle_name": "LUGTU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "41965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMELIZ",
"last_name": "LUGTU",
"middle_name": "MANZON",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Denver, CO
Sources for this page
- 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.