Healthcare Provider Details

I. General information

NPI: 1326121237
Provider Name (Legal Business Name): JAY MICHAEL STRAIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

895 S LOGAN ST
DENVER CO
80209-4127
US

IV. Provider business mailing address

895 S LOGAN ST
DENVER CO
80209-4127
US

V. Phone/Fax

Practice location:
  • Phone: 303-733-3764
  • Fax: 303-733-0868
Mailing address:
  • Phone: 303-733-3764
  • Fax: 303-733-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number32862
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32862
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: