DR. DAVID JACOB ANDORSKY (NPI# 1609061837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609061837 |
| Entity Type | Individual |
| Full Name | DR. DAVID JACOB ANDORSKY |
| Credential | MD |
| Practice Address |
4715 Arapahoe Ave Boulder CO 80303-1385 |
| Mailing Address |
7951 E Maplewood Ave Ste 300 Greenwood Village CO 80111-4726 |
| Practice Telephone | 3033852000 |
| Practice Fax Number | 3034441839 |
| Mailing Telephone | 3039307800 |
| Mailing Fax Number | 3039307860 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
48556 | CO | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A90997 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 99275261 | 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 |
| 1619052529 | Meera Patel | Radiology | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2006-10-26 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719904 | Jenny R Fox | Internal Medicine | 4715 Araphoe Avenue, Boulder, CO 80303 | 2005-12-06 |
| 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 |
| 1053686253 | Austin Poole | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2012-03-20 |
| 1376520478 | Patrick Lee Moran | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-12-29 |
| 1952385502 | Leslie Thomas Busby | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-12-06 |
| 1437133527 | Lori Lynn Jensen | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-12-01 |
| 1346224433 | John Thomas Fleagle | Internal Medicine | 4715 Arapahoe Ave, Boulder, CO 80303-1385 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238578 | Scl Health Medical Group - Denver, LLC | Internal Medicine | 340 Exempla Cir, Lafayette, CO 80026-3384 | 2020-09-02 |
| 1285242636 | Rocky Mountain Cancer Centers LLP | Internal Medicine | 10107 Ridgegate Pkwy Ste 300, Lone Tree, CO 80124-5642 | 2020-07-21 |
| 1356965529 | Platte Valley Medical Group, LLC | Internal Medicine | 1606 Prairie Center Pkwy Ste 270, Brighton, CO 80601-4005 | 2020-06-03 |
| 1457980617 | Poudre Valley Medical Group, LLC | Internal Medicine | 4050 Briargate Pkwy Ste C1100, Colorado Springs, CO 80920-7815 | 2020-04-08 |
| 1407351950 | University Physicians Incorporated | Internal Medicine | 13199 E Montview Blvd Ste 100, Aurora, CO 80045-7202 | 2018-03-27 |
| 1114439924 | Cancer Centers of Colorado, LLC | Internal Medicine | 1601 Lowell Blvd Ste 150, Denver, CO 80204-1545 | 2017-11-02 |
| 1760814644 | Cccric LLC | Internal Medicine | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2013-08-02 |
| 1336482769 | Tejas Patil | Internal Medicine | 12801 E 17th Ave Fl 81018, Aurora, CO 80045-2530 | 2013-04-04 |
| 1851667596 | Michelle A Levy | Internal Medicine | 1800 N Williams St Ste 200, Denver, CO 80218-1237 | 2012-03-27 |
| 1790818425 | Western Hematology Oncology Associates, P.C. | Internal Medicine | 34 Van Gordon St, Suite 160, Lakewood, CO 80228-1705 | 2007-03-13 |
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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.