MEDICARE: ERIC S YAEGER MD PC

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	208M00000X	Hospitalist Physician	29092	CO

General Provider Information

NPI Number	:	1184803645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC S YAEGER MD PC

Provider Business Mailing Address
First Line	:	PO BOX 4797
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80155-4797
Country	:	US
Telephone Number	:	303-220-9948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1213
Country	:	US
Telephone Number	:	303-220-9948
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ROBIN B KOLSKY
Credential	:
Telephone Number	:	303-907-7779

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	05/22/2017

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