JERRY OTIS BUSH (NPI# 1457464257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457464257 |
| Entity Type | Individual |
| Full Name | JERRY OTIS BUSH |
| Credential | MD |
| Practice Address |
1000 Wellington Ave Grand Junction CO 81501 |
| Practice Telephone | 9702439000 |
| Practice Fax Number | 9702454936 |
| Mailing Telephone | 9702439000 |
| Mailing Fax Number | 9702454936 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 26622 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AB1100231 | 01 | |
| CO | 01266220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952424848 | Jerry Walter Bush | Internal Medicine | 686 S 8th St, Griffin, GA 30224-4214 | 2007-04-07 |
| Street Address |
1000 WELLINGTON AVE |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019112 | Walter Jay Hoffman | Ophthalmology | 1000 Wellington Ave, Ste A, Grand Junction, CO 81501-8180 | 2005-10-31 |
| 1356896658 | Grand Valley Ocular Anesthesia | Anesthesiology | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2016-08-17 |
| 1396154522 | Shannon Swayne | Optometrist | 1000 Wellington Ave, Ste A, Grand Junction, CO 81501-8180 | 2014-08-13 |
| 1306179031 | Travis Anderson | Optometrist | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2009-09-14 |
| 1508994641 | Western Rockies Eye Center,p.c. | Eyewear Supplier (Equipment, not the service) | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2007-03-01 |
| 1154459675 | Western Rockies Eye Center PC | Ophthalmology | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2007-02-28 |
| 1346308954 | Day Surgery of Grand Junction LLC | Clinic/Center | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2006-12-05 |
| 1366555161 | Michael E Luby | Optometrist | 1000 Wellington Ave, Grand Junction, CO 81501 | 2006-08-16 |
| 1871553578 | Deborah A Wheeler | Anesthesiology | 1000 Wellington Ave, Grand Junction, CO 81501-8180 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295997351 | James Albert Fox | Ophthalmology | 1000 Wellington Ave Ste A, Grand Junction, CO 81501-8180 | 2008-06-30 |
| 1316150287 | Jonathan Harder | Ophthalmology | 2478 Patterson Rd Ste 7, Grand Junction, CO 81505-3606 | 2007-05-08 |
| 1548373343 | Gregory E Kellam | Ophthalmology | 2460 Patterson Rd Unit 2, Grand Junction, CO 81505-1027 | 2006-08-16 |
| 1861406274 | Randall Jay Rottman | Ophthalmology | 1190 Bookcliff Ave, Ste 102 Rottman Eye Care, PC, Grand Junction, CO 81501-8133 | 2006-07-28 |
| 1295775195 | John Gerard Oster | Ophthalmology | 2472 Patterson Rd, Suite 11, Grand Junction, CO 81505-1285 | 2006-06-08 |
| 1124019112 | Walter Jay Hoffman | Ophthalmology | 1000 Wellington Ave, Ste A, Grand Junction, CO 81501-8180 | 2005-10-31 |
| 1477892172 | The Retina Center of Western Colorado Rllp | Ophthalmology | 2478 Patterson Rd, Suite 7, Grand Junction, CO 81505-3605 | 2013-01-31 |
| 1922235258 | Tracy Don Carter | Ophthalmology | 2460 Patterson Rd Unit 2, Grand Junction, CO 81505-1027 | 2009-06-12 |
| 1447446216 | Robert W Rigg Md PC | Ophthalmology | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2007-09-14 |
| 1821297516 | Rottman Eye Care, PC | Ophthalmology | 1190 Bookcliff Ave, Ste 102, Grand Junction, CO 81501-8133 | 2007-07-13 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on JERRY OTIS BUSH.
| 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.