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SARA B.L. JURGENS PAC NPI 1790823078


NPI Information

NPI: 1790823078
Provider Name: SARA B.L. JURGENS, PAC
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
10240 PARK MEADOWS DR
LONE TREE, CO
ZIP 80124
Phone: (303) 338-4545
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Sara B.l. Jurgens, PAC is a surgical physician assistant in Lone Tree, CO with 18 years of experience. Sara B.l. Jurgens, PAC NPI is 1790823078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10240 PARK MEADOWS DR
LONE TREE, CO
ZIP 80124-425
Phone: (303) 338-4545

The NPI 1790823078 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 6/2/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant085002920ILLINOISNo
2363AS0400XPhysician AssistantSurgical3220COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10739010006OTHERILLINOISMEDICARE NSC
2085002920OTHERILLINOISST. OF IL LICENSE
3208592OTHERILLINOISMEDICARE LOCALITY 99
493159579MEDICAIDCOLORADO
50739010008OTHERILLINOISMEDICARE NSC
60739010001OTHERILLINOISMEDICARE NSC
7208887OTHERILLINOISMEDICARE LOCALITY 15
8CD4744OTHERILLINOISRAILROAD MEDICARE GROUP #
9P00408910OTHERILLINOISRAILROAD MEDICARE
10025480OTHERCOLORADOKAISER COMMERCIAL NUMBER
110739010005OTHERILLINOISMEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.