THOMAS E SHONKA (NPI# 1013929660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013929660 |
Entity Type | Individual |
Full Name | THOMAS E SHONKA |
Credential | DPM |
Practice Address |
1400 28th St Suite 2 Boulder CO 80303-1096 |
Practice Telephone | 3034492000 |
Practice Fax Number | 3034499475 |
Mailing Telephone | 3034492000 |
Mailing Fax Number | 3034499475 |
Enumeration Date | 2006-08-12 |
Last Update Date | 2011-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
CO335 | CO | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
CO335 | CO | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CO335 | CO | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | PACIFICARE PROVIDER # | 841514106 03 | 01 |
CO | ROCKY MNT HEALTH PLANS | 841514106 002 | 01 |
CO | BCBS PROVIDER # | SH36054 | 01 |
CO | 01003359 | 05 |
Street Address |
1400 28TH ST SUITE 2 |
City | BOULDER |
State | CO |
Zip Code | 80303-1096 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245223593 | Ted C Kawulok | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2005-08-23 |
1285169623 | Ted C. Kawulok, D.d.s. | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2017-04-24 |
1669850608 | Ted C. Kawulok D.d.s., P.C. | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2015-05-11 |
1841432846 | Foot & Ankle Care of Boulder, PC | Clinic/Center | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2009-04-06 |
1215107867 | Joe Matthew Swartz | Family Medicine | 1400 28th St, Suite 1, Boulder, CO 80303 | 2008-03-10 |
1710168786 | Foot and Ankle Care of Boulder County, LLC | Podiatrist | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2007-11-19 |
1952514309 | Lori A. Irby | Specialist/Technologist, Other | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2007-05-08 |
1497818256 | Ania Maria Mohelicki | Dentist | 1400 28th St, Ste 4, Boulder, CO 80303-1096 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
Find all providers in zip 80303 |
Taxonomy Code | 213ES0000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Sports Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689062614 | Hecker Institute Pllc | Podiatrist | 2315 E Harmony Rd Ste 130, Fort Collins, CO 80528-8620 | 2014-12-29 |
1154389443 | Joseph Edward Mechanik | Podiatrist | 7180 E Orchard Rd Ste 100, Centennial, CO 80111 | 2006-05-03 |
1639512007 | Deann Hofer | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2013-04-16 |
1518990647 | Alan Ng | Podiatrist | 8101 E Lowry Blvd, Suite 230, Denver, CO 80230-7196 | 2006-07-09 |
Please comment or provide details below to improve the information on THOMAS E SHONKA.
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.