COLLIN WOOLDRIDGE (NPI# 1801346408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801346408 |
| Entity Type | Individual |
| Full Name | COLLIN WOOLDRIDGE |
| Credential | PA |
| Practice Address |
1420 W Midway Blvd Broomfield CO 80020-2090 |
| Practice Telephone | 3034661866 |
| Mailing Telephone | 3034661866 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005531 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1420 W MIDWAY BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466027 | William Roger Markel | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2005-06-10 |
| 1720508476 | Caitlin Bradshaw | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2017-06-23 |
| 1952797953 | Julia Lee Wofford Rhoden | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2015-04-07 |
| 1801095138 | Shannon Nicole Hill | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2007-07-17 |
| 1376625574 | Excel Physical Therapy, PC | Physical Therapist | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-10-19 |
| 1932211174 | Marnie Ceazan | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-08-31 |
| 1972519387 | Julia A Essig | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-31 |
| 1770507360 | Northern Medical Associates | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-27 |
| 1194748046 | James R Hill | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-25 |
| 1538181961 | Richard D. Hazen | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841203494 | Kristin Delnegro | Physician Assistant | 1420 W. Midway Blvd, Broomfield, CO 80020 | 2006-08-14 |
| 1972574002 | Amanda Masek Doetsch | Physician Assistant | 11550 N. Sheridan Blvd., Broomfield, CO 80020 | 2006-01-27 |
| 1700483500 | The Little Clinic of Colorado LLC | Physician Assistant | 12167 Sheridan Blvd, Broomfield, CO 80020-2417 | 2020-10-05 |
| 1518564319 | The Little Clinic of Colorado LLC | Physician Assistant | 2355 W 136th Ave, Broomfield, CO 80023-9331 | 2020-10-05 |
| 1851998967 | Sikora Elizabeth Cain | Physician Assistant | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2020-10-02 |
| 1821555863 | Ellyn Ann Ayervais | Physician Assistant | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2019-02-26 |
| 1639533656 | Family Medicine Associates | Physician Assistant | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2016-04-06 |
| 1609177484 | Megan Townsend | Physician Assistant | 13605 Xavier Ln, Suite B, Broomfield, CO 80023-3603 | 2010-11-09 |
| 1144533464 | Katie May Krueger | Physician Assistant | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2010-07-15 |
| 1275664047 | Dawn M Malsom | Physician Assistant | 11820 Destination Dr, Broomfield, CO 80021-2518 | 2007-03-07 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
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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.