ANDREW L PRUITT


Address: 311 Mapleton Ave, Boulder, CO 80304-3979
Phone: 3035445700

ANDREW L PRUITT (NPI# 1194707745) 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) 1194707745
Entity Type Individual
Full Name ANDREW L PRUITT
Credential P.A.
Practice Address 311 Mapleton Ave
Boulder
CO 80304-3979
Mailing Address 345 Maxwell Ave
Boulder
CO 80304-3972
Practice Telephone 3035445700
Practice Fax Number 3035445710
Mailing Telephone 3035445783
Mailing Fax Number 3034412388
Enumeration Date 2005-11-18
Last Update Date 2013-01-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 178 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 07178007 05

Other Providers ANDREW PRUITT

NPI Name Taxonomy Address Enumeration
1750377206 Andrew Lee Pruitt Thoracic Surgery (Cardiothoracic Vascular Surgery) 5325 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8633 2005-09-21

Office Location

Street Address 311 MAPLETON AVE
City BOULDER
State CO
Zip Code 80304-3979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225425275 Crystal Delker Occupational Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2015-04-16
1972999886 Ana Antonetti Occupational Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2015-04-08
1457755035 Shannon Aberton Specialist/Technologist 311 Mapleton Ave, Boulder, CO 80304-3979 2014-10-10
1457753683 Denise Knutson Specialist/Technologist 311 Mapleton Ave, Boulder, CO 80304-3979 2014-09-18
1124457304 Fatina Hindi Counselor 311 Mapleton Ave, Boulder, CO 80304-3979 2013-11-07
1669801296 Sonja Stilp, M.d., P.C. Pain Medicine 311 Mapleton Ave, Boulder, CO 80304-3979 2013-11-04
1831523984 Ruth Stephanie Waller Physical Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2013-08-26
1245662949 Kristine Nichole Rabin Physical Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2013-08-05
1568809291 Suzanne Segalowitz Physical Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2013-06-04
1184964645 Brian P Briggs Physical Therapist 311 Mapleton Ave, Boulder, CO 80304-3979 2013-02-21
Find all providers in the same location

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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750980298 Rachel Wolfe Physician Assistant 38 Qualla Ct, Boulder, CO 80303-3900 2020-10-24
1568005510 Haley Reiter Physician Assistant 5387 Manhattan Cir Ste 201, Boulder, CO 80303-4283 2019-10-22
1326515487 Kathryn Desellem Devlin Physician Assistant 4222 Monroe Dr Apt D, Boulder, CO 80303-2189 2018-10-26
1396244836 Trisha Quon Physician Assistant 4743 Arapahoe Ave Ste 102, Boulder, CO 80303-1123 2018-02-11
1992152482 Hillary Smyth Physician Assistant 75 Manhattan Dr Ste 208, Boulder, CO 80303-4252 2016-05-16
1093180341 Melissa Ortega Physician Assistant 565 Manhattan Dr, 102, Boulder, CO 80303-4051 2015-12-10
1265853790 David James Mackey Physician Assistant 565 Hartford Dr, Boulder, CO 80305-5714 2013-12-31
1023381993 Ara Rustad Haupt Physician Assistant 75 Manhattan Dr Mindful Pediatrics, Suite #4, Boulder, CO 80303 2012-02-22
1336339894 Amanda Lauren Lapointe Physician Assistant 3434 47th St Ste 200, Boulder, CO 80301-1817 2007-07-30
1487855763 Monica R Giamellaro Physician Assistant 1155 Alpine Ave Ste 280, Boulder, CO 80304-3493 2007-05-31
Find all providers in BOULDER

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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