JACK GERVAIS MD – NPI #1811156656
Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
JACK GERVAIS is a physician located in FRISCO, CO. NPPES has assigned the NPI number 1811156656 to JACK GERVAIS on June 06, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.
The NPI profile was previously updated about 13 years ago on Aug 14, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK GERVAIS below.
NPI Profile for
JACK GERVAIS
(more than 18 years ago)
FRISCO, CO 80443-0738 Phone: (970) 668-8123 Fax: (970) 668-2844
DENVER, CO 80217-5788 Phone: (303) 202-1280 Fax: (303) 202-1281
Identifiers for JACK GERVAIS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PACIFICARE SECURE HORIZONS | 20326023101 | |
| OTHER | RR MEDICARE | P00980274 | |
| MEDICAID | AZ | 816363 | |
| MEDICAID | CO | 73872369 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207P00000X - Emergency Medicine (Primary) |
CO | 50036 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JACK GERVAIS is affiliated with the following medical group(s):
- HOSPITAL
- ST ANTHONY SUMMIT MEDICAL CENTER340 PEAK ONE DR
FRISCO, CO 80443
- ST ANTHONY SUMMIT MEDICAL CENTER340 PEAK ONE DR
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