EILEEN G BICKFORD (NPI# 1376529941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376529941 |
| Entity Type | Individual |
| Full Name | EILEEN G BICKFORD |
| Other Name | EILEEN G FONG |
| Credential | MD |
| Practice Address |
580 Mohawk Dr Boulder CO 80303-3712 |
| Mailing Address |
2500 S Havana St Aurora CO 80014-1618 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 40433 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 021842 | 01 |
| CO | 73934577 | 05 |
| Street Address |
580 MOHAWK DR |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955571 | Natalie Gonzales | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2018-09-07 |
| 1578091062 | Michelle Justine Moffett | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2017-05-26 |
| 1174059703 | Katherine Crumpton | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2017-05-02 |
| 1699215715 | Desiree Zuniga | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2017-03-08 |
| 1912456500 | David Holt | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-09-24 |
| 1447603469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-07-14 |
| 1851793400 | Heidi S Gamber | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2014-09-25 |
| 1518398643 | Pamela Hernandez | Registered Nurse | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2013-11-27 |
| 1013359496 | Alexi Kimball Perkins | Physician Assistant | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2013-07-25 |
| 1255677647 | David S Kinz | Physical Therapist | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2012-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1548634165 | Paladina Health, LLC | Family Medicine | 2880 Folsom St Ste 104, Boulder, CO 80304-3769 | 2015-11-19 |
| 1922407170 | Carolyn Tabak | Family Medicine | 844 Iris Ave, Boulder, CO 80304-1758 | 2014-08-13 |
| 1841602976 | Charles Leo Steinberg | Family Medicine | 3014 Jefferson St, Boulder, CO 80304-2638 | 2014-05-23 |
| 1801224027 | Jeffrey I Birn | Family Medicine | 649 Quince Cir, Boulder, CO 80304-1030 | 2013-10-25 |
| 1669811683 | Joshua Avram Garfein | Family Medicine | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2013-06-24 |
| 1477882884 | Barry Benjamin Bialek | Family Medicine | 1010 Poplar Ave, Boulder, CO 80304-0747 | 2009-12-14 |
| 1669705042 | Boulder Peak Family Practice, Inc. | Family Medicine | 5330 Manhattan Cir # C-2, Boulder, CO 80303-4240 | 2009-09-16 |
| 1396990719 | William Jia Gottlieb | Family Medicine | 331 Maxwell Ave, Boulder, CO 80304-3972 | 2008-11-26 |
| 1922264175 | Jason Wells Glowney | Family Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2008-08-06 |
| 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.