Jed Sickles Shapiro (NPI# 1396765558, PAC ID# 2062445133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1396765558 |
PAC ID by PECOS | 2062445133 |
Professional Enrollment ID | I20050919000357 |
Full Name | Jed Sickles Shapiro |
Organization Legal Name | HEART OF BOARDWALK |
Address |
709 E 12th Ave Charg Resource Center Denver CO 80203-2610 |
Phone Number | 3038308805 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
Graduation Year | 1972 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 4789575614 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
709 E 12th Ave, Charg Resource Center, Denver, CO 80203-2610 | 3038308805 | HEART OF BOARDWALK |
Organization Legal Name | HEART OF BOARDWALK |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie L Frank | Clinical Social Worker | Heart of Boardwalk | 709 E 12th Ave, Charg Resource Center, Denver, CO 80203-2610 |
David D. Burgess | Clinical Social Worker | Heart of Boardwalk | 709 E 12 Ave, Denver, CO 80203-2610 |
Street Address |
709 E 12TH AVE CHARG RESOURCE CENTER |
City | DENVER |
State | CO |
Zip | 80203-2610 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie L Frank | Clinical Social Worker | Heart of Boardwalk | 709 E 12th Ave, Charg Resource Center, Denver, CO 80203-2610 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seanna Fuhrman | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Piper M Whiteley | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
Sara Fukuzawa | Physician Assistant | Clear Lake Sa Services, Inc. | 1940 N Pearl St, Apt 3645, Denver, CO 80203-1543 |
April Lynne Dominick | Physical Therapy | Nishimoto and Neujahr Physical Therapy LLC | 1120 N Lincoln St, Suite 907, Denver, CO 80203-2138 |
Berrin Lyon Boyce | Physical Therapy | Nishimoto and Neujahr Physical Therapy LLC | 1120 N Lincoln St, Suite 907, Denver, CO 80203-2138 |
Jeffrey Richmond | Psychiatry | 1120 N Lincoln St, Suite 1601, Denver, CO 80203-2141 | |
David D. Burgess | Clinical Social Worker | Heart of Boardwalk | 709 E 12 Ave, Denver, CO 80203-2610 |
Casey R Mcnitt | Physical Therapy | 800 N Lincoln St, Denver, CO 80203-2710 | |
Alison M Milbauer | Chiropractic | 980 N Grant St, Suite 100, Denver, CO 80203-2907 | |
Todd R Ball | Physical Therapy | 899 N Logan St, Suite 115, Denver, CO 80203-3128 | |
Find all physicians in zip 80203 |
City | DENVER |
Zip Code | 80203 |
Specialty | PSYCHIATRY |
City + Specialty | DENVER + PSYCHIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.