Provider Demographics
NPI:1639127574
Name:MEHLING, JASON AARON (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:AARON
Last Name:MEHLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 GARDEN CTR
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1730
Mailing Address - Country:US
Mailing Address - Phone:303-465-0401
Mailing Address - Fax:303-438-1351
Practice Address - Street 1:1100 BALSAM AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3404
Practice Address - Country:US
Practice Address - Phone:303-532-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN483052085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
450818YULQOtherMEDICARE BRI
MN1604152OtherMEDICA
CO39730069Medicaid
IA0720953Medicaid
WI348484000Medicaid
MNHP62576OtherHEALTHPARTNERS
MN127660300Medicaid
MNP00318045OtherRAILROAD MEDICARE MN
MN113311OtherUCARE
MN1046708OtherPREFERRED ONE
MN2443320OtherAMERICA'S PPO
MN507P3MEOtherBLUE CROSS BLUE SHIELD
WI99112127OtherWI HEALTH INSURANCE RISK SHARING PLAN
WIP00380132OtherRAILROAD MEDICARE WI
MN1639127574OtherMEDICA
COP01559590OtherBRI MEDICARE RAILROAD
MN300003923Medicare PIN
MN1046708OtherPREFERRED ONE
MN1639127574OtherMEDICA
COP01559590OtherBRI MEDICARE RAILROAD
MNI53066Medicare UPIN
CO39730069Medicaid