MEDICARE: JASON ESTES D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	S6391	TX
2	208M00000X	Hospitalist Physician	S6391	TX
3	207R00000X	Internal Medicine Physician	DR.0074704	CO

General Provider Information

NPI Number	:	1164962262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON ESTES D.O

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-2422
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 STEELE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-4414
Country	:	US
Telephone Number	:	303-372-4010
Fax Number	:	303-372-4011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2017
Last Update Date	:	07/06/2025

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Directions to “ JASON ESTES D.O” Practice Location

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