Individual
DR. JEREMIAH E. YERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, EMERGENCY DEPARTMENT, LAKEWOOD, CO 80228-1527
(720) 321-4161
(720) 321-4165
Mailing address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-2211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0434371
KS
207P00000X
Emergency Medicine Physician
Primary
2014030363
MO
207P00000X
Emergency Medicine Physician
50325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200655970A
—
KS
01
—
20326023101
PACIFICARE SECURE HORIZONS
—
05
—
86089005
—
CO
01
—
P01143436
RR MEDICARE
—
Enumeration date
04/27/2007
Last updated
06/03/2025
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