NPIMap

Individual provider Active NPI

Jennifer Jean Stroh, DO

  • Family Medicine Physician
  • Grand Junction, CO
National Provider Identifier
1912014879
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41942 Issued in CO
Practice address
2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901
Phone
(970) 256-1664
Fax
(970) 256-1707
NPI assigned
Aug 24, 2006
Last updated
May 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41942 CO Primary

Addresses

Primary practice location

2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901

Mailing address

2139 N 12TH St
Suite 2
Grand Junction, CO 81501-2901
Phone (970) 256-1664

Other identifiers 1

IdentifierTypeStateIssuer
53307577MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000593 CO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5597784728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Kansas City College of Medicine and Surgery, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Clinic, Inc.Group PAC ID 1052634748, 19 clinicians

Practice addresses (Care Compare)

2139 N 12TH St
Grand Junction, CO 81501-2910
Phone (970) 200-1600

2333 N 6TH St
Grand Junction, CO 81501-2001

510 29
Grand Junction, CO 81504-5383
Phone (979) 200-1600

526 29
Grand Junction, CO 81504

526 29
Grand Junction, CO 81504-5383
Phone (970) 200-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
41942COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Clinic, Inc. Dba Primehealth Family Medicine CurrentSince May 26, 2025 Accepting new patients
NPI 1710760343 CurrentSince May 26, 2025 Accepting new patients
Marillac Clinic, Inc Dba Primehealth Past Accepting new patients

Locations

2139 N 12th St
Grand Junction, CO 81501
Phone (970) 256-8449

2139 N 12th St
Ste 2
Grand Junction, CO 81501
Phone (970) 256-1664

2333 N 6th St
Grand Junction, CO 81501
Phone (970) 298-1782

Interoperability endpoints

  • Direct secure messaging: jennifer.stroh.1@15375.direct.athenahealth.com
  • Direct secure messaging: jstroh604192@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1912014879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-1664",
            "fax_number": "970-256-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "SUITE 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012901",
            "telephone_number": "970-256-1664",
            "fax_number": "970-256-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROH",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53307577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.