JEREMY EDWARD JARECKE (NPI# 1588821060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588821060 |
| Entity Type | Individual |
| Full Name | JEREMY EDWARD JARECKE |
| Credential | D.O. |
| Practice Address |
9320 Grand Cordera Parkway Suite 100 Colorado Springs CO 80924 |
| Practice Telephone | 7192826337 |
| Practice Fax Number | 7192820532 |
| Mailing Telephone | 7192826337 |
| Mailing Fax Number | 7192820532 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR.0051117 | CO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | DR.0051117 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
9320 GRAND CORDERA PARKWAY SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121597 | Mark Philp Carroll Jr. | Family Medicine | 9320 Grand Cordera Parkway, Suite 100, Colorado Springs, CO 80924 | 2006-02-03 |
| 1710368774 | Sonoma Associates Inc | Nurse Anesthetist, Certified Registered | 9320 Grand Cordera Parkway, Suite 200, Colorado Springs, CO 80924-7005 | 2015-06-16 |
| 1780014068 | Peak Surgery Center LLC | Clinic/Center | 9320 Grand Cordera Parkway, Suite 200, Colorado Springs, CO 80924 | 2013-11-22 |
| 1598064842 | Steven Jeffrey Edginton | Nurse Practitioner | 9320 Grand Cordera Parkway, Suite 100, Colorado Springs, CO 80924 | 2011-03-24 |
| 1265757181 | Carol Diane Reeder | Family Medicine | 9320 Grand Cordera Parkway, Suite 100, Colorado Springs, CO 80924 | 2010-04-03 |
| 1255589883 | Sara Ann Olson | Physician Assistant | 9320 Grand Cordera Parkway, Suite 100, Colorado Springs, CO 80924 | 2008-09-08 |
| 1023270733 | John Mose Roberts Jr. | Ophthalmology | 9320 Grand Cordera Parkway, Suite 255, Colorado Springs, CO 80924-7021 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1912435181 | Alpha Group LLC | Internal Medicine | 2920 N Cascade Ave Ste 201, Colorado Springs, CO 80907-6264 | 2017-05-31 |
| 1982013082 | Springs Medical Associates, Inc | Internal Medicine | 155 Printers Pkwy Ste 230, Colorado Springs, CO 80910-6102 | 2014-08-04 |
| 1477961787 | Karen Steinberg | Internal Medicine | 6117 Del Paz Dr, Colorado Springs, CO 80918-3003 | 2014-07-30 |
| 1114209079 | Touchstone Internal Medicine Pllc | Internal Medicine | 218 E Cheyenne Mtn Blvd, Colorado Springs, CO 80906-3720 | 2011-09-15 |
| 1336470608 | Robert Anthony Hannaman | Internal Medicine | 1455 Quail Lake Loop, Ste 100, Colorado Springs, CO 80906-4664 | 2010-01-26 |
| 1548402647 | Colorado Community Clinic Inc | Internal Medicine | 1605 N Union Blvd Ste 100, Colorado Springs, CO 80909 | 2009-04-03 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| 1902066442 | David Carlton Shepherd | Internal Medicine | 5550 Vessey Rd, Colorado Springs, CO 80908-3288 | 2008-06-09 |
| 1831360585 | Munni Selagamsetty,md,pc | Internal Medicine | 2875 International Circle, Colorado Springs, CO 80910 | 2008-03-20 |
| 1023212602 | Catherine Noelle O'shea | Internal Medicine | 8501 Jacks Fork Dr, Colorado Springs, CO 80924-8117 | 2007-06-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
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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.