Jerald Arthur Bovino

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35,042988 Issued in CO

Practice address

804 Hunter Creek Road
Aspen, CO 81611

Phone

(970) 925-9095

Fax

(970) 544-5838

NPI assigned

Apr 11, 2012

Last updated

Apr 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1942566229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4395",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816124395",
            "telephone_number": "970-925-9095",
            "fax_number": "970-544-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HUNTER CREEK ROAD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-925-9095",
            "fax_number": "970-544-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVINO",
        "first_name": "JERALD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "35,042988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BJ Williams RPT Inc (Aspen Sports Medicine)
• Laura Gambini Blocker, M.D.
• James Bolger
• Susan E Borm, MA
• Erica Boulangee, L.AC
• Joel J Brence, M.D.
• Allison Brickell
• D'Arcy Brown, D.C.
• Emma S Brown
• Betsy L Browning, RN

• Ophthalmology Physician in Aspen, CO
• Providers in Aspen, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.