Jennie Lee Payne, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

42132 Issued in CO

Practice address

1850 E Egbert St
Brighton, CO 80601-2404

Phone

(303) 659-1531

NPI assigned

Nov 14, 2005

Last updated

May 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Denver Anesthesiologists PC

  • Anesthesiology Physician
  • Englewood, CO
  • NPI 1376582767
  NPD (past)
• Western Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Westminster, CO
  • NPI 1619016938
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1720060015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438",
            "fax_number": "303-422-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012404",
            "telephone_number": "303-659-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JENNIE",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "42132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30137519",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choong Sung Park, PHARMD
• Parker Counseling Services (Brighton Counseling Services)
• Leslie Gail Parker, MA, LPC
• Jessie Parra
• Cassie Lynn Pavlovic, M.S.
• Peak Form LLC (Peak Form Medical Clinic)
• Opal Eileen Pearson, RN
• Pediatric Enhancement of Developmental Skills LLC
• Pedodent PC
• Pennock Center for Counseling

• Anesthesiology Physician in Brighton, CO
• Providers in Brighton, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.