JAY LIDSKY (NPI# 1164753331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164753331 |
| Entity Type | Individual |
| Full Name | JAY LIDSKY |
| Practice Address |
731 Cemetery Ln Aspen CO 81611-1141 |
| Practice Telephone | 9703193474 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2012-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 18757 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS17282 | FL | Pharmacy Service Providers |
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
18757 | CO | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
PU1952 | FL | Pharmacy Service Providers |
| Street Address |
731 CEMETERY LN |
| City | ASPEN |
| State | CO |
| Zip Code | 81611-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928950 | Valley View Hospital Association | Specialist | 101 Founders Place, Suites 104 & 105, Aspen, CO 81611 | 2020-10-05 |
| 1881210110 | Lauren Victoria Mitchell | Dietitian, Registered | 401 Castle Creek Road, Nutrition Services, Aspen, CO 81611 | 2020-06-23 |
| 1184271363 | Krista Swanson | Psychologist | 308 S Galena St, Aspen, CO 81611 | 2019-08-21 |
| 1891281747 | Community Health Services, Inc. | Dentist | 0405 Castle Creek Rd., Suite 6, Aspen, CO 81611 | 2018-07-03 |
| 1548776784 | Telecare Global LLC | Preventive Medicine | 11 Salvation Circle, Aspen, CO 81611 | 2017-12-26 |
| 1669808325 | Socorro Alicia Herrera | Registered Nurse | 0405 Castle Creek Road, Suite 201, Aspen, CO 81611 | 2013-09-25 |
| 1750641684 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 685 E Cooper Ave Ste A112, Aspen, CO 81611 | 2012-05-25 |
| 1952669954 | Erin N Lepe | Registered Nurse | 405 Castle Creek Rd Ste 201, Aspen, CO 81611 | 2012-04-26 |
| 1942566229 | Jerald Arthur Bovino | Ophthalmology | 804 Hunter Creek Road, Aspen, CO 81611 | 2012-04-11 |
| 1992023402 | Suzanne Floy Wasser | Social Worker | 0540 Upper Ranch Rd, Aspen, CO 81611 | 2010-05-07 |
| Find all providers in zip 81611 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
Please comment or provide details below to improve the information on JAY LIDSKY.
| 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.