DR. ANDREW GORDON ANTELL (NPI# 1508840158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508840158 |
Entity Type | Individual |
Full Name | DR. ANDREW GORDON ANTELL |
Credential | MD |
Practice Address |
4715 Arapahoe Ave Boulder CO 80303-1385 |
Mailing Address |
7951 E Maplewood Ave Suite 300 Greenwood Village CO 80111-4723 |
Practice Telephone | 3033852000 |
Practice Fax Number | 3034441839 |
Mailing Telephone | 3039307800 |
Mailing Fax Number | 3039307860 |
Enumeration Date | 2005-12-06 |
Last Update Date | 2011-08-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
37539 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 99554771 | 05 |
Street Address |
4715 ARAPAHOE AVE |
City | BOULDER |
State | CO |
Zip Code | 80303-1385 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346224664 | Mark Anthony Sitarik | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-11-30 |
1881202232 | Rocky Mountain Cancer Centers LLP | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2020-07-21 |
1306406491 | Joshua Keyes | Genetic Counselor, MS | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2019-06-19 |
1760978654 | Jill Mitchell | Social Worker | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2018-07-03 |
1770990103 | Breanna Rae Roscow | Genetic Counselor, MS | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2014-07-17 |
1053686253 | Austin Poole | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2012-03-20 |
1134418890 | Patrick Richard | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2011-04-04 |
1841509056 | Terri Ann Bauer | Social Worker | 4715 Arapahoe Ave, Boulder, CO 80303 | 2010-10-05 |
1568694776 | Tammy S Willett | Nurse Practitioner | 4715 Arapahoe Ave, Suite 10, Boulder, CO 80303-1385 | 2009-08-20 |
1609061837 | David Jacob Andorsky | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2007-09-11 |
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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 | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134418890 | Patrick Richard | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2011-04-04 |
1154563807 | Boulder Cancer Center, LLC | Radiology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-26 |
1619052529 | Meera Patel | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2006-10-26 |
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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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.