JENNIFER A CARAGOL MD NPI 1003001256

Family Medicine in Evans, CO

About JENNIFER CARAGOL

Jennifer Caragol is a provider in Evans, CO with more than 15 years of experience. The NPI number assigned to this provider is 1003001256. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Jennifer Caragol is registered with Medicare and accepts claims assignment.

NPI

1003001256

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JENNIFER A CARAGOL MD
Provider Location Address2930 11TH AVE EVANS, CO 80620 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2930 11TH AVE EVANS, CO 80620 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-11-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.44132
License StateCO
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906

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Mailing Address

JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
19535279MEDICAID (05)CO
CO306525MEDICARE PIN (08)CO

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093099145 HEATHER RENEE LEE PA
Individual
Physician Assistant2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1154558302 MYKA DAWN FISHER NP
Individual
Nurse Practitioner (Family)2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1184936627 JESSICA SUSANA NEDOM NP
Individual
Nurse Practitioner (Family)2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1225471758MRS. MARGARET LEE MCMAHON PHARM.D.
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-7183
1275840670 NIKKI MONTOYA SIDES MD
Individual
Pediatrics2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1306005731DR. LESLEY CLARK BROOKS M.D.
Individual
Family Medicine2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1477990331 GARY RUEDIN RPH
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-9011
1497793061 GLEE FRANCES GILE PA-C
Individual
Physician Assistant2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1518301316 JANELL WATKINS
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-7183
1568779866 JODI W. BOBBITT APN/FNP
Individual
Nurse Practitioner (Pediatrics)2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1609210426 CASSANDRA L HERRERA PHARM D
Individual
Pharmacist2930 11TH AVE
EVANS, CO 80620
(970) 395-7183
1669716486 AMY K YBARRA BA
Individual
Behavioral Analyst2930 11TH AVE
EVANS, CO 80620
(970) 347-2120
1720092737DR. KENNETH HARRIS KAPLAN M.D.
Individual
Pediatrics2930 11TH AVE
EVANS, CO 80620
(970) 395-1130
1740287598 THOMAS LEE DICKEY PA-C
Individual
Physician Assistant2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1821332248 ELSA ATCHERLEY MA
Individual
Behavioral Analyst2930 11TH AVE
EVANS, CO 80620
(970) 347-2120
1891031043 DALLAS MARK DANIELS RDH
Individual
Dental Hygienist2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1891793378 KRISTIE L JAMES PNP
Individual
Nurse Practitioner (Pediatrics)2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1922204973 ISAAC MOSES HOTZ M.D.
Individual
Family Medicine2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
1952540817 LONNA DEE BLOOM PA-C
Individual
Physician Assistant (Medical)2930 11TH AVE
EVANS, CO 80620
(970) 395-1130
1962499681MRS. VANESSA ANN WILKINS RN
Individual
Registered Nurse2930 11TH AVE
EVANS, CO 80620
(970) 353-9403
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