ELIZABETH ANN KUSEK


Address: 3303 N. Broadway St, Boulder, CO 80304-2241
Phone: 3034496050

ELIZABETH ANN KUSEK (NPI# 1285840942) 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) 1285840942
Entity Type Individual
Full Name ELIZABETH ANN KUSEK
Credential PA-C
Practice Address 3303 N. Broadway St
Boulder
CO 80304-2241
Mailing Address 1345 Plaza Court N.
#1a
Lafayette
CO 80026-2832
Practice Telephone 3034496050
Practice Fax Number 3036046243
Mailing Telephone 3036653036
Mailing Fax Number 3036046243
Enumeration Date 2007-05-16
Last Update Date 2008-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 789 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 41483553 05
DEA MK0201943 01

Office Location

Street Address 3303 N. BROADWAY ST
City BOULDER
State CO
Zip Code 80304-2241

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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