Provider Demographics
NPI:1538177514
Name:GILROY, JEFFREY SCOTT (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:SCOTT
Last Name:GILROY
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 1:799 E HAMPDEN AVE STE 430
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2766
Mailing Address - Country:US
Mailing Address - Phone:303-733-8848
Mailing Address - Fax:303-733-3107
Practice Address - Street 1:799 E HAMPDEN AVE STE 430
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113
Practice Address - Country:US
Practice Address - Phone:303-733-8848
Practice Address - Fax:303-733-3107
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY8899A2085R0001X
TXQ04442085R0001X
CODR.00495352085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ604427Medicaid
CA00A863190Medicaid
AZZ144203Medicare PIN
CAWA86319JMedicare PIN
TX376920YK62Medicare PIN
AZ604427Medicaid
CAWA86319KMedicare PIN