THOMAS E SHONKA


Address: 1400 28th St, Suite 2, Boulder, CO 80303-1096
Phone: 3034492000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 1400 28TH ST
SUITE 2
City BOULDER
State CO
Zip Code 80303-1096

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 213ES0000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Sports Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City BOULDER
Zip Code 80303

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Dataset Information

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.

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