DR. JENNIFER JOCELYN CLARK (NPI# 1336106053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336106053 |
Entity Type | Individual |
Full Name | DR. JENNIFER JOCELYN CLARK |
Credential | MD |
Practice Address |
2055 High Street #340 Denver CO 80205-5504 |
Mailing Address |
4900 S Monaco St Suite 210 Denver CO 80237-3486 |
Practice Telephone | 3038322344 |
Practice Fax Number | 3038323721 |
Mailing Telephone | 3038322344 |
Mailing Fax Number | 3038323721 |
Enumeration Date | 2006-04-27 |
Last Update Date | 2014-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
45919 | CO | Allopathic & Osteopathic Physicians |
N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
157630 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025570100 | 05 | |
CO | 75034531 | 05 | |
WY | 1336106053 | 05 | |
WY | 125003100 | 05 | |
SD | 1336106053 | 05 | |
NM | 5326087 | 05 | |
NM | 657254089 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
Street Address |
2055 HIGH STREET #340 |
City | DENVER |
State | CO |
Zip Code | 80205-5504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598756454 | Saundra Kay | Pediatrics | 2055 High Street, #370, Denver, CO 80205-5504 | 2005-10-31 |
1295175164 | Nicole Elizabeth Cyr | Audiologist | 2055 High Street, #110, Denver, CO 80205-5504 | 2013-06-25 |
1982927976 | Deborah D Gilbert | Nurse Practitioner | 2055 High Street, Ste 110, Denver, CO 80205-5504 | 2010-03-05 |
1225261696 | Gillian L Cremona | Nurse Practitioner | 2055 High Street, Ste 370, Denver, CO 80205-5504 | 2009-09-01 |
1902042393 | Stacey Dyan Brophy | Advanced Practice Midwife | 2055 High Street, #140, Denver, CO 80205-5504 | 2009-01-06 |
1770740797 | Jessica F Curley | Pediatrics | 2055 High Street, Ste 330, Denver, CO 80205-5504 | 2008-05-19 |
1750553632 | Molly Jo Weaver | Nurse Practitioner | 2055 High Street, #110, Denver, CO 80205 | 2008-03-31 |
1679765309 | Mindy Ann Banks | Internal Medicine | 2055 High Street, #330, Denver, CO 80205-5504 | 2007-08-16 |
1952591901 | Kristin Elaine Shipman | Surgery | 2055 High Street, #370, Denver, CO 80205-5504 | 2007-07-26 |
1780882829 | Benjamin A Ross | Psychiatry & Neurology | 2055 High Street, #210, Denver, CO 80205-5504 | 2007-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
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Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194970350 | John A Van Doorninck | Pediatrics | 2055 High St, #340, Denver, CO 80205-5504 | 2008-12-01 |
1427133156 | Robert L. Garcea | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
1518055532 | Julie D Zimbelman | Pediatrics | 2055 High Street, #340, Denver, CO 80205-5504 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104115765 | Mark Eric Kohler | Pediatrics | 13123 E 16th Ave # Ms 8302, Aurora, CO 80045-7106 | 2011-04-05 |
1629306337 | Carl Thomas Kisker | Pediatrics | 1088 Royal Buffalo Drive, Silverthorne, CO 80498-2165 | 2009-11-19 |
1538360185 | Terry J Fry | Pediatrics | Chco, Ccbd, Bone Marrow Transplant, B115, 13123 E. 16th Avenue, Aurora, CO 80045 | 2007-05-30 |
1932159522 | Pamela Jesse Hutt | Pediatrics | 1 Mercado Street - Suite 100, Durango, CO 81301-7300 | 2006-05-12 |
1477516391 | Joanne M. Hilden | Pediatrics | 13123 E 16th St, Box B115, Aurora, CO 80045 | 2006-04-11 |
1417959107 | Stephen Ralph Palmer | Pediatrics | 7720 S Broadway, Suite 110, Littleton, CO 80122-2632 | 2005-08-11 |
1447256623 | Karol Hicks Kerr | Pediatrics | 4125 Briargate Pkwy, Suite 200, Colorado Springs, CO 80920-7804 | 2005-06-22 |
1013303098 | Laura Mclaughlin Cobb | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-07 |
1639597305 | Colin J Sallee | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2014-03-31 |
1588008858 | Priya P Chan | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-04-17 |
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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.