Dr. Mark Jeranko
Rheumatology
1715 Iron Horse Dr
Longmont
, Colorado 80501-9753
Dr. Mark Jeranko
Rheumatology
1715 Iron Horse Dr
Longmont
, Colorado 80501-9753
(720) 494-4706
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Mark Jeranko
- 1715 Iron Horse Dr
- Longmont, CO
- Zip : 80501-9753
- Fax : (720) 494-4706
- Phone : (720) 494-4700
Second Address
- Dr. Mark Jeranko
- 1715 Iron Horse Dr
- Longmont, CO
- Zip : 80501-9753
- Fax : (720) 494-4706
- Phone : (720) 494-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RR0500X | Rheumatology | 5101021529 | MI |
| Y | 207RR0500X | Rheumatology | DR.0064290 | CO |
National Provider Identifier
| NPI | 1114304573 |
|---|---|
| Provider Name | Dr. Mark Jeranko |
| First Address | Longmont, CO 80501-9753 |
| Second Address | Longmont, CO 80501-9753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2015 |
| Last Update Date | 30/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.