BOULDER CANCER CENTER, LLC (NPI# 1154563807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154563807 |
Entity Type | Organization |
Organization Name | BOULDER CANCER CENTER, LLC |
Practice Address |
905 Alpine Ave Boulder CO 80304-3305 |
Practice Telephone | 3034484620 |
Practice Fax Number | 3034495807 |
Mailing Telephone | 3034484620 |
Mailing Fax Number | 3034495807 |
Enumeration Date | 2009-03-26 |
Last Update Date | 2009-03-26 |
Authorized Official Name | DR. KEVIN LAWERANCE SCHEWE (PRESIDENT) |
Authorized Official Telephone | 3034484620 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
200946901 | CO | Allopathic & Osteopathic Physicians |
Street Address |
905 ALPINE AVE |
City | BOULDER |
State | CO |
Zip Code | 80304-3305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205817483 | Catherine Wherry Pacocha | Physician Assistant | 905 Alpine Ave, Boulder, CO 80304-3305 | 2005-11-07 |
1447629886 | Skin PC | Dermatology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2015-09-16 |
1144462839 | Alpine Medical Imaging LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
1831331511 | Alpine Rs LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
1386886067 | Alpine Cancer Care LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
1982878104 | Kristin M. Foreman | Dietitian, Registered | 905 Alpine Ave, Suite B, Boulder, CO 80304-3305 | 2008-04-17 |
1275722621 | Ck Leasing, LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2007-10-22 |
1952497646 | Brooke W Lewis | Physician Assistant | 905 Alpine Ave, Boulder, CO 80304-3305 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
Find all providers in zip 80304 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134418890 | Patrick Richard | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2011-04-04 |
1619052529 | Meera Patel | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2006-10-26 |
1508840158 | Andrew Gordon Antell | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1104439322 | Poudre Valley Medical Group, LLC | Radiology | 525 Bob Peters Grv Ste 100, Colorado Springs, CO 80909-4533 | 2020-08-27 |
1093005738 | Timothy Victor Waxweiler | Radiology | 525 Bob Peters Grv, Radiation Oncology, Colorado Springs, CO 80950-0001 | 2011-04-14 |
1609020312 | Sana Dole Karam | Radiology | 1665 Aurora Ct Ste 1032, Aurora, CO 80045-2517 | 2008-11-07 |
1598912735 | Jeffrey R Olsen | Radiology | 535 Peters Grove Suite 100, Colorado Springs, CO 80909-4533 | 2008-08-19 |
1265697890 | Carole Lepper Milligan | Radiology | 1320 Blue Spruce Ct, Steamboat Springs, CO 80487-3027 | 2008-07-23 |
1528233905 | Valley Radiotherapy Associates Medical Group Inc | Radiology | 799 E. Hampden Avenue, Englewood, CO 80113-2700 | 2008-04-25 |
1285834945 | Eugene Chung | Radiology | 4700 Hale Pkwy Ste 150, Denver, CO 80220-4054 | 2007-07-20 |
1497887624 | Seth D Reiner | Radiology | 2555 S. Downing St, Denver, CO 80210 | 2007-03-12 |
1689763369 | The Prostate Seed Center, LLC | Radiology | 3440 Youngfield St Pmb 115, Wheat Ridge, CO 80033-5245 | 2006-10-12 |
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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.