KELLY JEAN CUSHING (NPI# 1710910831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910831 |
| Entity Type | Individual |
| Full Name | KELLY JEAN CUSHING |
| Credential | D.O. |
| Practice Address |
4747 Arapahoe Ave Boulder CO 80303-1133 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034157610 |
| Practice Fax Number | 3034157618 |
| Mailing Telephone | 3034157610 |
| Mailing Fax Number | 3034157618 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DR.0056124 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DO27740 | OR | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | DR.0056124 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500622186 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942521323 | Kelly Colleen Cushing | Internal Medicine | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2010-06-19 |
| Street Address |
4747 ARAPAHOE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074196 | Boulder Community Health | General Acute Care Hospital | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2005-12-19 |
| 1720686371 | Boulder Emergency Physicians PC | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-15 |
| 1083212989 | Boulder Emergency Physicians PC | Emergency Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-13 |
| 1083239941 | Marguerite Rice Shifrin | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-06-16 |
| 1962031666 | Ian Mathew Morlock | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-04-04 |
| 1356980205 | Sean Wallis | Hospitalist | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-12-24 |
| 1144877523 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-08-21 |
| 1689147555 | Angela C Sloan | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-01-03 |
| 1144707506 | Kimberly Ann North | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2018-07-27 |
| 1881081107 | Joseph Patrick Raycroft | Internal Medicine | 4747 Arapahoe Ave, Boulder, CO 80303 | 2015-04-24 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980205 | Sean Wallis | Hospitalist | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006173 | Peak Medical Care, Pllc | Hospitalist | Pikes Peak Regional Hospital-md, 16420 W Us Highway 24, Woodland Park, CO 80863-8760 | 2020-09-03 |
| 1750995064 | Peak Medical Care, Pllc | Hospitalist | Uchealth Grandview Hospital - App, 5623 Pulpit Peak Vw, Colorado Springs, CO 80918-3954 | 2020-09-03 |
| 1659985968 | Peak Medical Care, Pllc | Hospitalist | Pikes Peak Regional Hospital-app, 16420 W Us Highway 24, Woodland Park, CO 80863-8760 | 2020-09-03 |
| 1124632765 | Peak Medical Care, Pllc | Hospitalist | Uchealth Grandview Hospital - Md, 5623 Pulpit Peak View, Colorado Springs, CO 80918-3954 | 2020-09-01 |
| 1710456512 | Rocky Mountain Healthcare Partners LLC | Hospitalist | 6256 Oxford Peak Ct, Castle Rock, CO 80108-9467 | 2018-11-21 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1497149645 | Jonathan Douglas Rice | Hospitalist | 12631 E 17th Ave # Msb158, Aurora, CO 80045-2527 | 2015-03-26 |
| 1568759306 | Eduardo Cruz Pareja | Hospitalist | 2637 Midpoint Dr, Fort Collins, CO 80525-4407 | 2011-06-30 |
| 1316246275 | Poudre Valley Health Care Inc | Hospitalist | 1024 S. Lemay Ave, Fort Collins, CO 80524-3929 | 2011-03-17 |
| 1174824817 | Physicians of Colorado LLC | Hospitalist | 1085 War Eagle Dr N, Colorado Springs, CO 80919-1640 | 2010-11-11 |
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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.