STEPHEN M. SWAN (NPI# 1326012618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326012618 |
| Entity Type | Individual |
| Full Name | STEPHEN M. SWAN |
| Other Name | STEPHEN M. SWAN |
| Practice Address |
1100 Balsam Ave Boulder CO 80304-3404 |
| Mailing Address |
Po Box 173894 Denver CO 80217-3894 |
| Practice Telephone | 3034402037 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PAL 1917 | CO | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA.0001917 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 7555344 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801023130 | Stephen Christopher Swan | Counselor | 1209 Shady Brook Ln, Gaylord, MI 49735-9219 | 2009-06-12 |
| 1578654885 | Stephen M Swan | Nurse Anesthetist, Certified Registered | 2 Columbia Dr Ste A327, Tampa, FL 33606-3683 | 2006-09-28 |
| 1427512383 | Stephen L. M. Swan | Student in an Organized Health Care Education/Training Program | 1600 Specht Point Rd Ste 105, Fort Collins, CO 80525-4311 | 2019-01-24 |
| Street Address |
1100 BALSAM AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293485 | Jie Mao | Radiology | 1100 Balsam Ave, Radiology, Boulder, CO 80304-3404 | 2005-08-30 |
| 1669987020 | Boulder Senior Adcocates | Social Worker | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-12-07 |
| 1740794650 | Suzanne Theresa Conversano | Counselor | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-11-30 |
| 1679000798 | Angela Ely | Social Worker | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2017-05-19 |
| 1366807117 | S Lisa Yordy | Social Worker | 1100 Balsam Ave, 4th Floor, Boulder, CO 80304-3404 | 2015-12-22 |
| 1861740532 | Margarita Kurinets | Physician Assistant | 1100 Balsam Ave, 3w, Boulder, CO 80304-3404 | 2012-08-28 |
| 1891012688 | Stephen J. Macdade | Emergency Medicine | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2010-05-03 |
| 1801043039 | Leslie Marie Glover | Registered Nurse | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2008-08-19 |
| 1760648240 | Jennifer Wing-chee Tsoi | Physical Medicine & Rehabilitation | 1100 Balsam Ave, 4th Floor, Boulder, CO 80304-3404 | 2008-08-04 |
| 1083881163 | Ashley Holladay Connolly | Counselor | 1100 Balsam Ave, Boulder Community Hospital, Boulder, CO 80304-3404 | 2008-05-08 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| 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 | ||||
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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.