Active NPI
Wendy S Juhlin, DO
- Family Medicine Physician
- Denver, CO
National Provider Identifier
1982682506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0053212
- Practice address
- 721 19TH St FL 2
Denver, CO 80202 - Phone
- (303) 623-1020
- NPI assigned
- Jan 4, 2006
- 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 | 0053212 | CO | Primary |
Addresses
Primary practice location
721 19TH St FL 2
Denver, CO 80202
Mailing address
721 19TH St FL 2
Denver, CO 80202-2500
Phone (303) 623-1020
Other practice location 1
5731 Greendale Rd
Suite 100
Johnston, IA 50131-1593
Phone (515) 270-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2474189 | Medicaid | IA | |
| 0474189 | Medicaid | IA | |
| 3474189 | Medicaid | IA | |
| 1474189 | Medicaid | IA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053212 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctorsnow Doral LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Johnston, IA
- NPI 1932346079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1982682506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 19TH ST FL 2",
"city": "DENVER",
"state": "CO",
"postal_code": "802022500",
"telephone_number": "303-623-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 19TH ST FL 2",
"city": "DENVER",
"state": "CO",
"postal_code": "80202",
"telephone_number": "303-623-1020"
}
],
"practiceLocations": [
{
"address_1": "5731 Greendale Rd",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501311593",
"country_code": "US",
"telephone_number": "515-270-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUHLIN",
"first_name": "WENDY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0053212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2474189",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0474189",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3474189",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1474189",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.