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Contact Information

JASON T LEASEBURG, MD
12605 E 16TH AVE
AURORA, CO80045-2545
 Phone: 720-848-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON T LEASEBURG · (Male)

NPI Number 1184639577
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2006
Last updated 07/12/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 51419
  • FL License # ME95042
  • TX License # M7362
  • CO Medicaid 54752566
  • TX Medicaid 188818201
  • TX Other 8B5614 BLUE CROSS BLUE SHIELD
  • TX Other 20045344 RAILROAD MEDICARE
Hospital affiliation(s)
  • CHRISTUS ST JOHN HOSPITAL - (Acute Care)
    18300 ST JOHN DRIVE
    NASSAU BAY, TX 77058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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