Provider Demographics
NPI:1053060509
Name:SHULMISTER, JACOB WESLEY (DPM)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:WESLEY
Last Name:SHULMISTER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:950 E HARVARD AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7005
Mailing Address - Country:US
Mailing Address - Phone:303-722-6864
Mailing Address - Fax:303-722-5113
Practice Address - Street 1:950 E HARVARD AVE STE 300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-7005
Practice Address - Country:US
Practice Address - Phone:303-722-6864
Practice Address - Fax:303-722-5113
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2025-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0000967213EP1101X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine