Healthcare Provider Details
I. General information
NPI: 1821041591
Provider Name (Legal Business Name): JEFFREY S SCHWARTZ MD, F.C.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 03/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 E 19TH AVE STE 3100
DENVER CO
80218-1239
US
IV. Provider business mailing address
1601 E 19TH AVE STE 3100
DENVER CO
80218-1239
US
V. Phone/Fax
- Phone: 303-863-0300
- Fax: 303-863-7014
- Phone: 303-863-0300
- Fax: 303-863-7014
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 24772 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 24772 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: