JOSEPH J KEZEOR MD NPI 1578683223

NPI Information

NPI: 1578683223
Provider Name: JOSEPH J KEZEOR, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2121 E HARMONY RD
SUITE 230
FORT COLLINS, CO
ZIP 80528
Phone: (970) 266-8822
Get Directions

Joseph J Kezeor, MD is a family medicine in Fort Collins, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Joseph J Kezeor, MD NPI is 1578683223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 E HARMONY RD
SUITE 230
FORT COLLINS, CO
ZIP 80528
Phone: (970) 266-8822
Fax: (970) 266-8833

The NPI 1578683223 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 3/29/2007 and was last updated on 9/10/2019.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	DR.0053122	COLORADO	No
2	207Q00000X	Family Medicine	MD-45754	IOWA	No
3	207Q00000X	Family Medicine	57589	ARIZONA	No
4	207Q00000X	Family Medicine	MD22717	MAINE	No
5	207Q00000X	Family Medicine	64736	MINNESOTA	No
6	207Q00000X	Family Medicine	MD60913138	WASHINGTON	No
7	207Q00000X	Family Medicine	281-320	WISCONSIN	No
8	207Q00000X	Family Medicine	18414	NEVADA	No
9	207Q00000X	Family Medicine	11037807-1205	UTAH	No
10	207Q00000X	Family Medicine	04-41643	KANSAS	No
11	207Q00000X	Family Medicine	11383	SOUTH DAKOTA	No
12	207Q00000X	Family Medicine	CDRH.0053122	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43600361	MEDICAID	COLORADO
2	P01275583	OTHER	COLORADO	MEDICARE RAILROAD
3	47081633613	MEDICAID	NEBRASKA

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

NPI Synchronization or Removal

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