Provider Demographics
NPI:1518965458
Name:CASKEY, JENNIFER H (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:H
Last Name:CASKEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 LUTHERAN PKWY STE 100A
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6013
Mailing Address - Country:US
Mailing Address - Phone:303-403-7333
Mailing Address - Fax:303-403-7335
Practice Address - Street 1:3550 LUTHERAN PKWY STE 100A
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6013
Practice Address - Country:US
Practice Address - Phone:303-403-7333
Practice Address - Fax:303-403-7335
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24450207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO010023873OtherRAILROAD MEDICARE
CO01244508Medicaid
D24452Medicare UPIN
CO01244508Medicaid
COCOA102724Medicare PIN