TRACY CASAULT


Address: 119 Ucb, Boulder, CO 80309-0119
Phone: 3034925101

TRACY CASAULT (NPI# 1508912197) 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) 1508912197
Entity Type Individual
Full Name TRACY CASAULT
Credential D.O.
Practice Address 119 Ucb
Boulder
CO 80309-0119
Practice Telephone 3034925101
Mailing Telephone 3034925101
Enumeration Date 2007-01-26
Last Update Date 2013-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
45638 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 119 UCB
City BOULDER
State CO
Zip Code 80309-0119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912085952 Ann Louise Mattson Obstetrics & Gynecology 119 Ucb, Boulder, CO 80309-0119 2006-11-01
1770074841 Charina Gaston Cordova-velayo Marriage & Family Therapist 119 Ucb, Boulder, CO 80309-5001 2018-05-24
1205273216 Chelsea Johnson Pharmacist 119 Ucb, Boulder, CO 80309-5001 2013-05-30
1922357946 Melissa Uleki Capparo-batey Nurse Practitioner 119 Ucb, Boulder, CO 80309-0119 2012-09-05
1891066056 Christopher Ynigo Velayo Counselor 119 Ucb, Boulder, CO 80309-5001 2012-01-19
1598042244 Sarah Kaufman Feil Pharmacist 119 Ucb, Boulder, CO 80309-5001 2011-11-09
1396981890 Emily A Kerr Counselor 119 Ucb, Boulder, CO 80309-5001 2009-01-05
1235305582 Carla Jean Bradley Psychologist 119 Ucb, Boulder, CO 80309-0119 2008-05-07
1881812873 Stephanie Marie Betz Nurse Practitioner 119 Ucb, Boulder, CO 80309-5001 2007-04-23
1770606758 Molly Fortuna Counselor 119 Ucb, Boulder, CO 80309-0119 2007-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053887331 Christina Riseman Speech-Language Pathologist Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 2018-10-15
1942784228 Janae Elise Bell Specialist/Technologist Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 2018-09-21
1669856696 Kathryn Blau Psychologist Wardenburg Health Services 119 Ucb, Boulder, CO 80309 2015-07-20
1407142623 John D. Breck Family Medicine 1900 Wardenburg Way, Boulder, CO 80309 2011-06-27
1912217431 Paul Calvert Pharmacist Campus Box 119, Boulder, CO 80309 2010-10-18
1568798536 Brittany L Devoge Pharmacist 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 2009-10-27
1295968949 Mya M Bethune Counselor 104 Ucb, Center for Community S440, Boulder, CO 80309 2009-08-28
1245479377 Susan E Mead Pharmacist 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 2009-02-12
1881681120 Anne Elizabeth Miller Nurse Practitioner 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 2005-10-03
1720446222 University Physicians Incorporated Orthopaedic Surgery 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 2016-01-29
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407142623 John D. Breck Family Medicine 1900 Wardenburg Way, Boulder, CO 80309 2011-06-27
1497908362 All Sports Medicine of Boulder Family Medicine 3825 Iris Ave, Suite 300, Boulder, CO 80301-2003 2008-10-23
1326069998 Nathan Michael Josephs Family Medicine 3055 47th Street, Boulder, CO 80301 2006-07-21
1437130424 Timothy Joseph Mazzola Family Medicine 350 Broadway St Ste 202, Boulder, CO 80305 2005-11-08
1881868008 Sherrie Lynn Ballantine-talmadge Family Medicine 2150 Stadium Dr, Boulder, CO 80309-0001 2008-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093338840 St Mary's Hospital and Medical Center, Inc Family Medicine 2698 Patterson Rd Unit 42, Grand Junction, CO 81506-8818 2020-05-27
1356980940 Catholic Health Initiatives Colorado Family Medicine 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 2019-12-30
1225525132 Pueblo Sports and Family Medicine Pllc Family Medicine 1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981 2018-04-16
1013274281 Sports and Family Medicine of Colorado Family Medicine 6390 Gardenia St Unit 140, Arvada, CO 80004-3536 2012-04-12
1205112596 Catholic Health Initiatives Colorado Family Medicine 1315 Fortino Blvd, Pueblo, CO 81008-1981 2011-10-31
1316184120 10k Sports Medicine, PC Family Medicine Unit 101b, 12 Snowmass Rd, Crested Butte, CO 81224-8046 2009-01-15
1740467315 Workpartners Family Medicine 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 2008-01-26
1578686382 Lisa Brone Family Medicine 149 S Briggs St, Ste 103b, Erie, CO 80516-4064 2007-04-08
1861547572 Girish Anand Paranjape Family Medicine 2240 Buchtel Blvd, 3rd Floor Clinic - Ritchie Center, Denver, CO 80208-0001 2007-01-24
1144305038 Herbert G Parris Family Medicine 2610 E 3rd Ave, Denver, CO 80206-4721 2006-10-26
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Competitor

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City BOULDER
Zip Code 80309

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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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