Jay L Adler, MD
Individual provider Active NPI Family Medicine Physician · Colorado Springs, CO
NPI 1659360238 · NPPES record last updated Aug 6, 2012
Key facts
- NPI
- 1659360238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22818 (CO)
- Practice address
- 2 S Cascade Ave
Suite140
Colorado Springs, CO 80903-1624 - Phone
- (719) 538-2950
- Fax
- (719) 538-2996
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22818 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22818 | CO | Yes |
Addresses
Primary practice location
2 S Cascade Ave
Suite140
Colorado Springs, CO 80903-1624
Mailing address
2220 West Colorado Ave
Colorado Springs, CO 80903-1604
Phone (719) 473-6306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01228188 | Medicaid | CO |
Other providers in Colorado Springs, CO
- Angela Dawn Adkins
- Julia Adkins
- Maegan Adkins
- Shana Adkins
- Douglas Graham Adler
- Bezawit Yitayew Admasu
- Admiral Transportation LLC
- Maya Patrice Adney
- Rayan Ado
- Meredith Adolf
All providers in Colorado Springs, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.