ELLEN ANDERSON SMITH


Address: 14093 Roaring Fork Cir, Broomfield, CO 80020-3924
Phone: 3034650876

ELLEN ANDERSON SMITH (NPI# 1083731772) 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) 1083731772
Entity Type Individual
Full Name ELLEN ANDERSON SMITH
Credential P.A.
Practice Address 14093 Roaring Fork Cir
Broomfield
CO 80020-3924
Practice Telephone 3034650876
Mailing Telephone 3034650876
Enumeration Date 2007-03-26
Last Update Date 2008-01-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
378 CO Physician Assistants & Advanced Practice Nursing Providers

Other Providers ELLEN SMITH

NPI Name Taxonomy Address Enumeration
1235746553 Ellen Smith Nurse Practitioner 340 Airis Dr., Suite 203, Newark, NJ 07114 2020-09-30
1972093870 Ellen Smith Social Worker 60 Mountain St, Haydenville, MA 01039-9723 2018-05-16
1023528783 Ellen Marie Smith Specialist/Technologist 3662 E Carmel Dr, Carmel, IN 46033-4317 2017-10-09
1457716474 Ellen Crystal Smith Counselor 107-41 Van Wyck Expressway, Jamaica, NY 11435 2015-12-17
1932593688 Ellen Katherine Smith Massage Therapist 10225 Se Raymond St, Portland, OR 97266-3635 2015-03-20
1063844587 Ellen Elizabeth Smith Dietitian, Registered 8600 Pontchartrain Blvd, 410, New Orleans, LA 70124-2440 2013-08-07
1437435468 Ellen Gray Smith Occupational Therapist 11 Pellett St, Norwich, NY 13815-1209 2011-10-21
1750534400 Ellen Smith Specialist 2143 Singing Woods Dr, Skaneateles, NY 13152-8933 2008-10-28
1023273513 Ellen Elizabeth Smith Social Worker 500 7th Avenue South, Dept. 7470, St. Petersburg, FL 33731-8920 2008-07-23
1003923392 Ellen M Smith Social Worker 31 Collegeview Ave, Poughkeepsie, NY 12603-2406 2006-08-24

Office Location

Street Address 14093 ROARING FORK CIR
City BROOMFIELD
State CO
Zip Code 80020-3924

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487210993 Terri Lynn Rist Day Training, Developmentally Disabled Services 12161 Crabapple Street, Broomfield, CO 80020 2019-05-10
1063984409 This Is Massage Registered Nurse 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 2018-12-26
1588187678 Jenny St. Claire Counselor 80 Garden Ctr Ste 140, Broomfield, CO 80020 2017-07-20
1649791880 Brett T Nelson Dentist 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 2017-06-28
1073033411 Patrice S Lensmire Gauthier Occupational Therapist 12970 Sheridan Blvd, Broomfield, CO 80020 2017-06-27
1871047753 Michelle L Fussnecker Physician Assistant 6450 W 120th Ave Unit A, Broomfield, CO 80020 2016-08-09
1588029565 Courtney Miller Marriage & Family Therapist 26 Garden Center Suite 1, Broomfield, CO 80020 2015-12-17
1659742161 Heather Scott Physician Assistant 340 E 1st Ave Ste 100, Broomfield, CO 80020 2015-10-09
1154701407 Emily Arrington Speech-Language Pathologist 1790 W 6th Ave, Broomfield, CO 80020 2015-06-02
1376939884 Retro Dental Group Broomfield Dentist 5105 120th Ave, Broomfield, CO 80020 2015-04-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255490181 Ahmad Walid Dastgeer Physician Assistant 4674 Jasper Ln, Broomfield, CO 80020-8131 2006-12-06
1578547329 Melinda L Sharkey Physician Assistant 6363 W 120th Ave, #300, Broomfield, CO 80020-0300 2005-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033737366 Wound Solutions Inc Physician Assistant 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 2020-07-13
1295396513 Joseph D Timmermeyer Physician Assistant 324 Fossil Dr, Johnstown, CO 80534-7452 2019-06-26
1356805626 Heather Free Physician Assistant 3653 N Josephine St, Denver, CO 80205-3545 2019-01-30
1255804910 Jessie P Larson Physician Assistant 7847 Downing St, Denver, CO 80229-5961 2019-01-05
1710453543 Lindsay Marie Bergman Physician Assistant 1140 Edwards Village II, B-105, Edwards, CO 81632 2018-10-19
1225533136 Rafael Eduardo Castillo Physician Assistant 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 2018-03-25
1972026276 Sophia Jane Wagner Physician Assistant 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 2017-07-19
1326588732 Elise Nicole Van Etten Physician Assistant 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 2017-03-03
1336691914 Patrick Craig Ford Physician Assistant 6500 29th St Ste 106, Greeley, CO 80634-8386 2016-10-28
1942751904 5280 Surgical Assisting Professional LLC Physician Assistant 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 2016-10-14
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Competitor

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City BROOMFIELD
Zip Code 80020

Improve Information

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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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