Individual provider Active NPI

Jeffrey Lee Varnell, MD

  • Surgery Physician
  • Aurora, CO
National Provider Identifier
1396741500
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21100 Issued in CO
Practice address
1421 S Potomac St
Ste 110
Aurora, CO 80012-4511
Phone
(303) 337-5600
Fax
(303) 337-7734
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21100 CO Primary

Addresses

Primary practice location

1421 S Potomac St
Ste 110
Aurora, CO 80012-4511

Mailing address

1421 S Potomac St
Ste 110
Aurora, CO 80012-4511
Phone (303) 337-5600

Other identifiers 1

IdentifierTypeStateIssuer
01211002MedicaidCO

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1396741500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124511",
            "telephone_number": "303-337-5600",
            "fax_number": "303-337-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S POTOMAC ST",
            "address_2": "STE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124511",
            "telephone_number": "303-337-5600",
            "fax_number": "303-337-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNELL",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "21100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01211002",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.