JASON D MCCARL (NPI# 1144376757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144376757 |
| Entity Type | Individual |
| Full Name | JASON D MCCARL |
| Credential | MD |
| Practice Address |
6767 29th St Fl 2 Greeley CO 80634-5474 |
| Practice Telephone | 9702249102 |
| Practice Fax Number | 9702249112 |
| Mailing Telephone | 9702249102 |
| Mailing Fax Number | 9702249112 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 47765 | CO | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
47765 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
47765 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 88587576 | 05 |
| Street Address |
6767 29TH ST FL 2 |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-5474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932180551 | Daniel Henry Monkowski | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2005-11-10 |
| 1679188759 | Poudre Valley Medical Group, LLC | Urology | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-09-15 |
| 1952916587 | Poudre Valley Medical Group, LLC | Surgery | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-09-10 |
| 1770196990 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-08-27 |
| 1154934388 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-08-27 |
| 1023626157 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-07-15 |
| 1053933168 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-05-12 |
| 1285256388 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-05-12 |
| 1376162206 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-04-10 |
| 1598296949 | Rachel Slick | Social Worker | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196990 | Poudre Valley Medical Group, LLC | Internal Medicine | 6767 29th St Fl 2, Greeley, CO 80634-5474 | 2020-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712155 | Poudre Valley Medical Group, LLC | Internal Medicine | 940 Central Park Dr Ste 290, Steamboat Springs, CO 80487-8853 | 2020-08-27 |
| 1235627555 | Melanie Koenigshoff | Internal Medicine | 12605 E 16th Ave Rm 9014, Aurora, CO 80045-2545 | 2018-04-23 |
| 1598005266 | Richard O'brien | Internal Medicine | 422 Idlewild Dr, Dillon, CO 80435-8335 | 2013-02-18 |
| 1417208257 | Timothy C Kennedy Md LLC | Internal Medicine | 2045 Ash St, Denver, CO 80207-3717 | 2012-09-19 |
| 1659662484 | Kent Lee Christopher | Internal Medicine | 9086 E Colorado Cir, Denver, CO 80231-2924 | 2011-04-27 |
| 1215228473 | Thomas Theodore Heacock | Internal Medicine | Uchealth Pulmonology Clinic, 2121 E Harmony Road Suite 300, Fort Collins, CO 80528-3403 | 2011-04-22 |
| 1730316464 | Peter D Sottile | Internal Medicine | 12700 E 19th Ave Rm 9023, Mail Stop C272, Aurora, CO 80045-2560 | 2009-06-20 |
| 1730377557 | Robert E. Benkert, Md PC | Internal Medicine | 9201 W 44th Ave, Unit B, Wheat Ridge, CO 80033-3084 | 2007-10-05 |
| 1487776530 | Eric Rich | Internal Medicine | 12700 E 19th Ave, Room 9c03, Aurora, CO 80045 | 2007-04-06 |
| 1326162330 | Rocky Mountain Pulmonary & Critical | Internal Medicine | 8550 W 38th Ave Ste 202, Wheat Ridge, CO 80033-4342 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.