Active NPI
Mary E Jewell, MD
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1841292224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- CO33065
- Practice address
- 3910 S Carefree Cir
Suite C
Colorado Springs, CO 80917-3010 - Phone
- (719) 574-4780
- Fax
- (719) 574-8405
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CO33065 | CO | Primary |
Addresses
Primary practice location
3910 S Carefree Cir
Suite C
Colorado Springs, CO 80917-3010
Mailing address
3910 S Carefree Cir
Suite C
Colorado Springs, CO 80917-3010
Phone (719) 574-4780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO33065 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1841292224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 S CAREFREE CIR",
"address_2": "SUITE C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809173010",
"telephone_number": "719-574-4780",
"fax_number": "719-574-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 S CAREFREE CIR",
"address_2": "SUITE C",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809173010",
"telephone_number": "719-574-4780",
"fax_number": "719-574-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "CO33065",
"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 Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.