Provider Demographics
NPI:1144201823
Name:SHARP, JAMIE S (MD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:S
Last Name:SHARP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:B
Other - Last Name:HOUG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:499 EAST HAMPDEN AVENUE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113
Mailing Address - Country:US
Mailing Address - Phone:303-781-8439
Mailing Address - Fax:303-788-6115
Practice Address - Street 1:499 EAST HAMPDEN AVENUE
Practice Address - Street 2:SUITE 320
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113
Practice Address - Country:US
Practice Address - Phone:303-781-8439
Practice Address - Fax:303-781-8439
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37713173000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G95241Medicare UPIN
C365458Medicare PIN
CO528288Medicare ID - Type Unspecified