DR. JERED NYSTROM


Address: 12401 E 17th Ave, Aurora, CO 80045-2548
Phone: 7208480000

DR. JERED NYSTROM (NPI# 1366903726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366903726
Entity Type Individual
Full Name DR. JERED NYSTROM
Credential MD
Practice Address 12401 E 17th Ave
Aurora
CO 80045-2548
Mailing Address 5000 W Chambers St
Milwaukee
WI 53210-1650
Practice Telephone 7208480000
Mailing Telephone 4144472195
Enumeration Date 2019-03-28
Last Update Date 2020-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
5000 W Chambers St, Milwaukee, WI 532101650 4144472195

Office Location

Street Address 12401 E 17TH AVE
City AURORA
State CO
Zip Code 80045-2548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083648679 Jeannette Guerrasio Internal Medicine 12401 E 17th Ave, Mail Code F782, Aurora, CO 80045-2548 2006-07-10
1366049116 Laurie Lahr Nurse Practitioner 12401 E 17th Ave, Aurora, CO 80045-2548 2020-10-05
1407479736 John White Student in an Organized Health Care Education/Training Program 12401 E 17th Ave, Aurora, CO 80045-2548 2020-05-20
1619517414 Bethany Louise Zablotsky Physician Assistant 12401 E 17th Ave, Aurora, CO 80045-2548 2020-01-09
1316585425 Elizabeth Mcwilliams Physician Assistant 12401 E 17th Ave, Aurora, CO 80045-2548 2019-12-19
1831731819 Matthew David Ferraro Physician Assistant 12401 E 17th Ave, Aurora, CO 80045-2548 2019-10-11
1144880725 Kari Waterman Pediatrics 12401 E 17th Ave, Aurora, CO 80045-2548 2019-06-17
1801357314 Nicholas Maxwell Pflederer Student in an Organized Health Care Education/Training Program 12401 E 17th Ave, Aurora, CO 80045-2548 2019-03-27
1538632484 Jordi Garcia-timko Anesthesiologist Assistant 12401 E 17th Ave, Aurora, CO 80045-2548 2019-01-03
1124595160 Danielle Wade Social Worker 12401 E 17th Ave, Aurora, CO 80045-2548 2018-10-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
Find all providers in zip 80045

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043827827 Jessica Paulette Flowers Student in an Organized Health Care Education/Training Program 23608 E Fremont Cir Unit 304, Aurora, CO 80016-2615 2020-09-25
1346859543 Amandeep K Pentlia Student in an Organized Health Care Education/Training Program 13021 E 21st Ave, Aurora, CO 80045-7454 2020-07-24
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1902424062 Janell Herrera Student in an Organized Health Care Education/Training Program 856 Columbia St, Aurora, IL 60505-2816 2020-07-06
1457978611 David Immanuel Freeman Fountain Student in an Organized Health Care Education/Training Program 3697 S Cathay Cir, Aurora, CO 80013-3619 2020-07-02
1568087492 Jimmy D Joseph Student in an Organized Health Care Education/Training Program 1290 Chambers Rd # 80011, Aurora, CO 80011-7117 2020-06-16
1013532811 Jay Patrick Lewis Student in an Organized Health Care Education/Training Program 7009 S Netherland Way, Aurora, CO 80016-2347 2020-06-08
1649893546 Megan Heman Student in an Organized Health Care Education/Training Program 23068 Lawrence 1200, Aurora, MO 65605-8252 2020-05-26
1689296915 Rafael Martinez Perez Student in an Organized Health Care Education/Training Program 12631 E 17th Ave # 5001, Aurora, CO 80045-2527 2020-05-08
1790305704 Evan Tkaczyk Student in an Organized Health Care Education/Training Program 3461 Saint Barthelemy Ln, Aurora, IL 60504-3120 2020-04-20
Find all providers in AURORA

Competitor

Search similar providers

City AURORA
Zip Code 80045

Improve Information

Please comment or provide details below to improve the information on DR. JERED NYSTROM.

Dataset Information

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.

Trending Searches