COLORADO CARDIOVASCULAR CENTER (NPI# 1013026376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013026376 |
| Entity Type | Organization |
| Organization Name | COLORADO CARDIOVASCULAR CENTER |
| Practice Address |
3000 Center Green Dr Suite 120 Boulder CO 80301-2364 |
| Practice Telephone | 3035441200 |
| Practice Fax Number | 3035440086 |
| Mailing Telephone | 3035441200 |
| Mailing Fax Number | 3035440086 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | KIM DUNLAP (BILLING OFFICE MANAGER) |
| Authorized Official Telephone | 3035441200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71026371 | 05 |
| Street Address |
3000 CENTER GREEN DR SUITE 120 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631051 | Nicole L Peskin | Physical Therapist | 3000 Center Green Dr, 110, Boulder, CO 80301-2364 | 2005-07-07 |
| 1861923252 | Colorado Health Providers, LLC | Anesthesiology | 3000 Center Green Dr, Suite 120, Boulder, CO 80301-2364 | 2017-03-27 |
| 1427403039 | Karlee Luttig | Specialist/Technologist, Other | 3000 Center Green Dr, #150, Boulder, CO 80301-2364 | 2016-05-02 |
| 1609239771 | Brooke Durham | Physical Therapy Assistant | 3000 Center Green Dr, Boulder, CO 80301-2364 | 2016-04-05 |
| 1841674108 | Integrated Medical Consultants | Anesthesiology | 3000 Center Green Dr, Suite 120, Boulder, CO 80301-2364 | 2015-07-16 |
| 1164820916 | Osteopathic Pain and Rehabilitation Medicine, A Professional LLC. | Physical Medicine & Rehabilitation | 3000 Center Green Dr, #130, Boulder, CO 80301-2364 | 2014-12-10 |
| 1306187547 | Lauren Michelle Staton | Physical Therapist | 3000 Center Green Dr, Suite 110, Boulder, CO 80301 | 2013-03-13 |
| 1750653200 | Angela Cay Morris | Massage Therapist | 3000 Center Green Dr, Suite 130, Boulder, CO 80301-2364 | 2012-01-30 |
| 1790084317 | Nicole Alford | Physical Therapist | 3000 Center Green Dr, #110, Boulder, CO 80301-2364 | 2011-03-22 |
| 1215234885 | Jesse Friedman | Dentist | 3000 Center Green Dr, Suite 215, Boulder, CO 80301-2364 | 2011-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1356719058 | Jenna Heilers Otr LLC | Specialist | 2135 Upland Ave, Boulder, CO 80304-0937 | 2015-09-11 |
| 1316284235 | Rocky Mountain Center for Advanced Medicine | Specialist | 4790 Table Mesa Dr Ste 202, Boulder, CO 80305-5660 | 2013-01-11 |
| 1609123470 | Terry Ann Pallister | Specialist | 16 Whitetail Rd, Boulder, MT 59632-9727 | 2012-08-10 |
| 1104107960 | Denise K Bell | Specialist | 2325 Balsam Dr, Boulder, CO 80304-3709 | 2011-09-06 |
| 1548569445 | Sydney Ann Cooper | Specialist | 2956 Glenwood Dr, Boulder, CO 80301-1306 | 2011-03-18 |
| 1437337094 | Timothy Justice Md PC | Specialist | 425 College Ave, Boulder, CO 80302-7131 | 2008-02-06 |
| 1134307606 | Frank Guerra Md PC | Specialist | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3495 | 2008-02-06 |
| 1598949737 | Connie L Grenz | Specialist | 303 East Third Ave, Boulder, MT 59632-1215 | 2007-12-24 |
| 1295938223 | Amy Lynne Stone | Specialist | 2691 Juniper Ave, Boulder, CO 80304-2462 | 2007-06-07 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.