INGE J MCCLORY (NPI# 1518108075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518108075 |
| Entity Type | Individual |
| Full Name | INGE J MCCLORY |
| Credential | P.A. |
| Practice Address |
4743 Arapahoe Ave Ste 201 Boulder CO 80303-1128 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034422395 |
| Practice Fax Number | 3034421073 |
| Mailing Telephone | 3034422395 |
| Mailing Fax Number | 3034421073 |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0722 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003682 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12605 E 16th Ave, Aurora, CO 800452545 | 3037242089 | 3037242094 |
| Street Address |
4743 ARAPAHOE AVE STE 201 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863545 | Molly Glen Ware | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2005-12-22 |
| 1619577681 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2020-10-29 |
| 1588143069 | Sarah Chetham | Emergency Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2018-08-07 |
| 1730570789 | Vitale Grace Battaglini | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2015-02-12 |
| 1760813067 | Kathleen G Dworak | Registered Nurse | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2013-12-11 |
| 1225326978 | Mark S Lembach | Physician Assistant | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2011-07-15 |
| 1740453752 | Samvel G Aznaurov | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2008-04-10 |
| 1073737664 | Srinivas Iyengar | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2007-04-13 |
| 1902952989 | Brian Stewart Lyle | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303 | 2007-01-25 |
| 1558433557 | Roy W Thompson | Internal Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2006-11-14 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386919793 | Laura Beth Hundemann | Physician Assistant | 2919 Valmont Rd Ste 204, Boulder, CO 80301-1350 | 2012-03-19 |
| 1356326888 | Alison Merser Moore | Physician Assistant | 1949 Pearl St, Boulder, CO 80302-4496 | 2005-12-07 |
| 1184175952 | Reed P Fischer | Physician Assistant | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2016-10-17 |
| 1366802035 | Rachel Morr | Physician Assistant | 2525 13th St, Boulder, CO 80304-4104 | 2016-02-24 |
| 1386918977 | Jennifer Lau Stanzel | Physician Assistant | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1080 | 2012-02-29 |
| 1417268970 | Zachary D Kahn | Physician Assistant | 2750 Broadway St, Boulder, CO 80304-3573 | 2010-06-29 |
| 1770812588 | Jonathan Ellis Welker | Physician Assistant | 4801 Riverbend Rd Ste 200, Boulder, CO 80301-2613 | 2009-12-08 |
| 1295068682 | Melissa J Guerri | Physician Assistant | 4745 Arapahoe Ave, #130, Boulder, CO 80303-1080 | 2009-09-16 |
| 1528297439 | Rebecca Jane Barnes | Physician Assistant | 805 S Broadway St, Ste 103, Boulder, CO 80305-5971 | 2009-07-13 |
| 1023140035 | Darrin Paul Guitreau | Physician Assistant | 4895 Riverbend Rd, Boulder, CO 80301-2640 | 2007-03-12 |
| 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.