Provider Demographics
NPI:1679658736
Name:CURRY, JEREMY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:SCOTT
Last Name:CURRY
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 1:4698 W 23RD LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7842
Mailing Address - Country:US
Mailing Address - Phone:928-276-4267
Mailing Address - Fax:
Practice Address - Street 1:2270 S RIDGEVIEW DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8866
Practice Address - Country:US
Practice Address - Phone:928-329-4886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32246207L00000X, 207LP2900X
CAA94601207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ128679Medicare PIN
AZZ128679Medicare UPIN