DR. INIGO SAN-MILLAN


Address: 2150 Stadium Drive, Boulder, CO 80309-0001
Phone: 3033159900

DR. INIGO SAN-MILLAN (NPI# 1114435252) 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) 1114435252
Entity Type Individual
Full Name DR. INIGO SAN-MILLAN
Credential PHD
Practice Address 2150 Stadium Drive
Boulder
CO 80309-0001
Mailing Address 9342 Crestmore Way
Highlands Ranch
CO 80126-2723
Practice Telephone 3033159900
Mailing Telephone 9702370481
Enumeration Date 2018-01-10
Last Update Date 2018-01-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 293D00000X Physiological Laboratory Laboratories

Office Location

Street Address 2150 STADIUM DRIVE
City BOULDER
State CO
Zip Code 80309-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265496194 Kimberly R Detwiler Specialist/Technologist 2150 Stadium Drive, Boulder, CO 80309-7059 2006-04-17
1750996559 Kathryn Reid Martin Physical Therapist 2150 Stadium Drive, Boulder, CO 80309-0001 2020-09-09
1447897335 Boulder Community Health Clinical Medical Laboratory 2150 Stadium Drive, Boulder, CO 80309-0001 2019-12-10
1174179915 Boulder Community Health Clinic/Center 2150 Stadium Drive, Boulder, CO 80309-0001 2019-08-16
1871058545 Connor Joseph Speck Specialist/Technologist 2150 Stadium Drive, Boulder, CO 80309-0001 2019-02-06
1043413859 Matthew Wagner Physical Therapist 2150 Stadium Drive, Boulder, CO 80309-1361 2007-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053887331 Christina Riseman Speech-Language Pathologist Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 2018-10-15
1942784228 Janae Elise Bell Specialist/Technologist Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 2018-09-21
1669856696 Kathryn Blau Psychologist Wardenburg Health Services 119 Ucb, Boulder, CO 80309 2015-07-20
1407142623 John D. Breck Family Medicine 1900 Wardenburg Way, Boulder, CO 80309 2011-06-27
1912217431 Paul Calvert Pharmacist Campus Box 119, Boulder, CO 80309 2010-10-18
1568798536 Brittany L Devoge Pharmacist 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 2009-10-27
1295968949 Mya M Bethune Counselor 104 Ucb, Center for Community S440, Boulder, CO 80309 2009-08-28
1245479377 Susan E Mead Pharmacist 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 2009-02-12
1881681120 Anne Elizabeth Miller Nurse Practitioner 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 2005-10-03
1720446222 University Physicians Incorporated Orthopaedic Surgery 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 2016-01-29
Find all providers in zip 80309

Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235375411 Apex Neuromonitoring, LLC Physiological Laboratory 2727 Pine St Ste 3, Boulder, CO 80302-3846 2008-12-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528622198 Tobey Jean Montoya Physiological Laboratory 1300 S Papago Dr, Pueblo West, CO 81007-2696 2019-04-29
1407355670 Scltdi Jv, LLC Physiological Laboratory 3 Superior Dr, Suite 150, Superior, CO 80027-8654 2018-02-02
1457888398 Scltdi Jv, LLC Physiological Laboratory 3911 Ambrosia St # 104, Castle Rock, CO 80109-3820 2017-05-22
1134669930 Mednet Colorado Medical Group, LLC Physiological Laboratory 14255 County Road 87, Fleming, CO 80728-9602 2017-02-28
1245608785 Sandman Sleep Services, LLC Physiological Laboratory 413 Mirada Ct, Grand Junction, CO 81507-4512 2015-09-14
1962882506 Scltdi Jv, LLC Physiological Laboratory 3055 S Parker Rd, Bldg A, Suite #103, Aurora, CO 80014-2932 2015-06-08
1447658513 Somnia Sleep Wellness, Inc Physiological Laboratory 8401 Park Meadows Center Dr, A103, Lone Tree, CO 80124-5128 2014-12-05
1790182509 Scltdi Jv, LLC Physiological Laboratory 1007 E Colfax Ave, Denver, CO 80218-1916 2014-11-21
1457768715 Braincare, LLC Physiological Laboratory 720 Corporate Cir, Ste A-6, Golden, CO 80401-5641 2014-07-18
1346548641 Mile High Medical Diagnostics, LLC Physiological Laboratory 342 Florence Ct, Highlands Ranch, CO 80126-8607 2011-03-10
Find all providers with the same taxonomy

Competitor

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City BOULDER
Zip Code 80309

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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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