Provider Demographics
NPI:1366670416
Name:DE YAO, JOCELYN TORRES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:TORRES
Last Name:DE YAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4758
Mailing Address - Country:US
Mailing Address - Phone:303-930-7803
Mailing Address - Fax:303-930-5503
Practice Address - Street 1:6031 E WOODMEN RD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2625
Practice Address - Country:US
Practice Address - Phone:719-577-2555
Practice Address - Fax:719-597-6425
Is Sole Proprietor?:No
Enumeration Date:2009-06-28
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0067792207R00000X
KS04-37879207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201117760BMedicaid
KS201117760AMedicaid
OK200602450AMedicaid
KSKA3434009Medicare UPIN
OK200602450AMedicaid