PARK AVENUE OCULOPLASTIC SURGEONS
NPI 1225162134
Specialist in Denver, CO
NPI Status: Active since March 15, 2007
Contact Information
1800 EMERSON ST
SUITE 200
DENVER, CO
ZIP 80218
Phone: (303) 468-8844
Fax: (303) 468-8850
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 06D1035865
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-12-2027
About PARK AVENUE OCULOPLASTIC SURGEONS
This page provides the complete NPI Profile along with additional information for Park Avenue Oculoplastic Surgeons, a provider established in Denver, Colorado operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1225162134 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 27698 (CO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Park Avenue Oculoplastic Surgeons. The authorized official of this NPI record is Miss Katie J Dubler (Office Manager)
- NPI
- 1225162134
- Provider Legal Name
- JERRY K POPHAM, MD PC
- Other Organization Name
- PARK AVENUE OCULOPLASTIC SURGEONS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1800 EMERSON ST SUITE 200 DENVER, CO 80218
- Location Phone
- (303) 468-8844
- Location Fax
- (303) 468-8850
- Mailing Address
- 1800 EMERSON ST SUITE 200 DENVER, CO 80218
- Mailing Phone
- (303) 468-8844
- Mailing Fax
- (303) 468-8850
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 05-22-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 27698
- License State
- CO
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
- HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
- HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue - EPO
- HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO - PPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue - EPO
- HeartlandBlue Gold Standard 2000 NEtwork Blue PPO - PPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue - EPO
- HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO - PPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision - EPO
- HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO - PPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue - EPO
- HeartlandBlue Silver Standard 6000 NEtwork Blue PPO - PPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| C538788 | MEDICARE ID-TYPE UNSPECIFIED (04) | CO | |
| 772537 | MEDICARE PIN (08) | KS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D1035865
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 13, 2025
- Certificate Expiration Date
- January 12, 2027
- Laboratory Director
- JERRY K. POPHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Avenue Oculoplastic Surgeons to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1225162134, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
DENVER, CO 80218
DENVER, CO 80218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225162134, enumerated as an "organization" on March 15, 2007.
The provider is located at 1800 EMERSON ST SUITE 200 DENVER, CO 80218 and the phone number is (303) 468-8844.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc., Blue. Please consult your insurance carrier or call the provider to verify.
