Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON RYAN MAMMINO
Active Sole ProprietorJASON RYAN MAMMINO is a Dermatology healthcare provider located in CASTLE ROCK, Colorado. NPI 1548757073 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CASTLE ROCK, CO
Registration Details
- NPI Number
- 1548757073
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2018 (8.341026519487 yrs)
- Last Updated
- May 1, 2023
- License
-
0066760 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4344 WOODLANDS BLVD STE 160CASTLE ROCK, CO, 801042801Browse CO providers · Browse ZIP 80104
- Phone
- 3033504500
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Student (Health Education/Training)
Other Dermatology Providers in CASTLE ROCK, CO
| Name | Credential | NPI |
|---|---|---|
| AMY M BROOMER | D.O. | 1053323196 |
| DAVID C HAHN | MD | 1811031685 |
| DR. TRACY A. HAINES | M.D. | 1316129356 |
| JAMES DANIEL JENSEN | MD | 1043503568 |
| ADAM VAUDREUIL | MD | 1922529965 |
| ALLISON MARQUIS | — | 1124664248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.