Active NPI
Jason Thomas Scism, D.O.
- Diagnostic Radiology Physician
- Colorado Springs, CO
National Provider Identifier
1770620106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 369
- Practice address
- Evans Army Community Hospital, 1650 Cochrane Cir B7500,
Colorado Springs, CO 80913 - Phone
- (719) 526-7099
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 369 | NE | Primary |
Addresses
Primary practice location
Evans Army Community Hospital, 1650 Cochrane Cir B7500,
Colorado Springs, CO 80913
Mailing address
Evans Army Community Hospital, 1650 Cochrane Cir B7500,
Colorado Springs, CO 80913
Phone (719) 526-7099
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 369 | NE | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1770620106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500,",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500,",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-7099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCISM",
"first_name": "JASON",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2024-12-30",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.