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DR. JED JITSUGO TATSUYAMA MD
NPI 1114960192
Family Medicine in Pueblo, CO

Active since June 14, 2006
1619 N GREENWOOD ST, SUITE 200, PUEBLO, CO 81003(719) 543-1130(719) 561-2764 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jed Jitsugo Tatsuyama Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JED JITSUGO TATSUYAMA MD (NPI 1114960192) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (41404) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114960192
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JED JITSUGO TATSUYAMACredential: MD
Location Address1619 N GREENWOOD ST, SUITE 200Pueblo, CO 81003-2644
Mailing Address1619 N Greenwood Street, Suite 200Pueblo, CO 81003 · (719) 543-1130 · Fax (719) 561-2764
Phone(719) 543-1130
Fax(719) 561-2764
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 30, 2008
✔ NPI 1114960192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 41404
Definition
Family 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.
1619 N GREENWOOD ST, Pueblo, CO 81003
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Other Identifiers 3

Medicare PINC501308CO
Medicaid62287338CO
Medicare UPING74828CO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN K MARBLE DPM
Podiatrist (Foot & Ankle Surgery)
1619 N GREENWOOD ST, # 300
PUEBLO, CO 81003
Pueblo County (719) 543-2476
RADIOLOGY ASSOCIATES
Specialist
1619 N GREENWOOD ST, SUITE 100
PUEBLO, CO 81003
Pueblo County (719) 542-2167
STEVEN NAFZIGER MD
Family Medicine
1619 N GREENWOOD ST, SUITE 204
PUEBLO, CO 81003
Pueblo County (719) 544-1551
KRYNN LOUIS STEGELMEIER MD
Radiology (Diagnostic Radiology)
1619 N GREENWOOD ST
PUEBLO, CO 81003
Pueblo County (719) 542-2167
DR. ERIC ANDREW LEWIS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1619 N GREENWOOD ST, SUITE 300
PUEBLO, CO 81003
Pueblo County (719) 543-2476
MAUREEN LYNN KEY M.D.
Obstetrics & Gynecology
1619 N GREENWOOD ST
PUEBLO, CO 81003
Pueblo County (719) 542-9010
LISA T CRAMER M.D.
Radiology (Diagnostic Radiology)
1619 N GREENWOOD ST, SUITE 103
PUEBLO, CO 81003
Pueblo County (719) 542-2167
DR. JIM K BECK DDS
Dentist (Orofacial Pain)
1619 N GREENWOOD ST, SUITE 308
PUEBLO, CO 81003
Pueblo County (719) 544-0901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jed Tatsuyama's NPI number?

The NPI number for Jed Tatsuyama is 1114960192. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Jed Tatsuyama located?

Jed Tatsuyama practices at 1619 N Greenwood St Suite 200, Pueblo, CO 81003. The listed phone number is (719) 543-1130.

What is Jed Tatsuyama's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jed Tatsuyama was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.