BOULDER CANCER CENTER, LLC


Address: 905 Alpine Ave, Boulder, CO 80304-3305
Phone: 3034484620

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
200946901 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 905 ALPINE AVE
City BOULDER
State CO
Zip Code 80304-3305

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City BOULDER
Zip Code 80304

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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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