Provider Demographics
NPI:1023116316
Name:KARN, JAMES C (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:KARN
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:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81002-0570
Mailing Address - Country:US
Mailing Address - Phone:719-296-5841
Mailing Address - Fax:719-542-0746
Practice Address - Street 1:916 INDIANA AVE
Practice Address - Street 2:STE 120
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-3572
Practice Address - Country:US
Practice Address - Phone:719-296-5841
Practice Address - Fax:719-542-0746
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-03-07
Deactivation Date:2020-03-25
Deactivation Code:
Reactivation Date:2020-04-21
Provider Licenses
StateLicense IDTaxonomies
CO26023207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
050051084OtherRR MEDICARE
CO26023OtherCOLO STATE LICENSE
PH18408OtherBCBS
CO01260231Medicaid
CH6461OtherRR MEDICARE - GROUP
CH6461OtherRR MEDICARE - GROUP
CO26023OtherCOLO STATE LICENSE
CO01260231Medicaid