DR. CAROLYN TABAK (NPI# 1922407170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922407170 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN TABAK |
| Credential | M.D., M.P.H. |
| Practice Address |
844 Iris Ave Boulder CO 80304-1758 |
| Practice Telephone | 3014454013 |
| Mailing Telephone | 5853301556 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60 226042 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10903 New Hampshire Ave, Silver Spring, MD 209031058 | 3017963405 |
| Street Address |
844 IRIS AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1548634165 | Paladina Health, LLC | Family Medicine | 2880 Folsom St Ste 104, Boulder, CO 80304-3769 | 2015-11-19 |
| 1841602976 | Charles Leo Steinberg | Family Medicine | 3014 Jefferson St, Boulder, CO 80304-2638 | 2014-05-23 |
| 1801224027 | Jeffrey I Birn | Family Medicine | 649 Quince Cir, Boulder, CO 80304-1030 | 2013-10-25 |
| 1669811683 | Joshua Avram Garfein | Family Medicine | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2013-06-24 |
| 1477882884 | Barry Benjamin Bialek | Family Medicine | 1010 Poplar Ave, Boulder, CO 80304-0747 | 2009-12-14 |
| 1669705042 | Boulder Peak Family Practice, Inc. | Family Medicine | 5330 Manhattan Cir # C-2, Boulder, CO 80303-4240 | 2009-09-16 |
| 1396990719 | William Jia Gottlieb | Family Medicine | 331 Maxwell Ave, Boulder, CO 80304-3972 | 2008-11-26 |
| 1922264175 | Jason Wells Glowney | Family Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2008-08-06 |
| 1134383540 | Jessica Jt Walker | Family Medicine | 5495 Arapahoe Ave Fl 2, Boulder, CO 80303-1200 | 2008-07-15 |
| 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.