Provider Demographics
NPI:1568420487
Name:KLEINMAN, JODY P (MD)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:P
Last Name:KLEINMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 ELDORADO BLVD
Mailing Address - Street 2:SUITE 6250
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-3408
Mailing Address - Country:US
Mailing Address - Phone:303-272-0750
Mailing Address - Fax:303-318-2488
Practice Address - Street 1:3655 LUTHERAN PARKWAY
Practice Address - Street 2:SUITE #201
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6010
Practice Address - Country:US
Practice Address - Phone:303-603-9800
Practice Address - Fax:303-403-6209
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2014-07-29
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Provider Licenses
StateLicense IDTaxonomies
CO29621207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01296219Medicaid
CO68074Medicare ID - Type Unspecified
COF04474Medicare UPIN