Organization Active NPI

Jeremy Hedges MD, MPH, LLC

  • Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1801156856
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
46906 Issued in CO
Legal business name
JEREMY HEDGES MD, MPH, LLC
Practice address
1715 N Weber St Ste 220
Colorado Springs, CO 80907-7553
Phone
(719) 471-3246
NPI assigned
May 24, 2012
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Jeremy Hedges, MD, MPH
Title
Solo Practioner
Phone
(303) 589-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 46906 CO Primary

Addresses

Primary practice location

1715 N Weber St Ste 220
Colorado Springs, CO 80907-7553

Mailing address

1183 Saint Paul St
Denver, CO 80206-3347

Other identifiers 1

IdentifierTypeStateIssuer
1467508085OtherPREVIOUS INDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1715 N Weber St
Ste 220
Colorado Springs, CO 80907
Phone (719) 471-3246

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1801156856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 SAINT PAUL ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077553",
            "telephone_number": "719-471-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY HEDGES MD, MPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "SOLO PRACTIONER",
        "authorized_official_telephone_number": "303-589-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "46906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVIOUS INDIVIDUAL NPI",
            "identifier": "1467508085",
            "state": null
        }
    ],
    "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 May 24, 2012; 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.