EPSTEIN NEUROSURGERY CENTER, LLC (NPI# 1942510169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942510169 |
| Entity Type | Organization |
| Organization Name | EPSTEIN NEUROSURGERY CENTER, LLC |
| Other Organization Name | BOULDER NEUROSURGERY CENTER, LLC |
| Practice Address |
1245 Pearl St Suite #210 Boulder CO 80302-5268 |
| Practice Telephone | 3038009129 |
| Practice Fax Number | 7206380497 |
| Mailing Telephone | 3038009129 |
| Mailing Fax Number | 7206380497 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2017-01-27 |
| Authorized Official Name | DR. CLARA RAQUEL EPSTEIN (CEO/NEUROSURGEON) |
| Authorized Official Telephone | 3038009129 |
| Authorized Official Credential | M.D., FICS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 40083 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boulder Neurosurgery Center, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Epstein Neurosurgery Center, LLC | 2121 Corral North, Cotopaxi, CO 81223 |
| Street Address |
1245 PEARL ST SUITE #210 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780806745 | Clara Raquel Epstein | Neurological Surgery | 1245 Pearl St, Suite #212, Boulder, CO 80302-5268 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780806745 | Clara Raquel Epstein | Neurological Surgery | 1245 Pearl St, Suite #212, Boulder, CO 80302-5268 | 2007-05-02 |
| 1275758039 | Alexander Michael Mason | Neurological Surgery | 4743 Arapahoe Ve, Ste 202, Boulder, CO 80303 | 2007-04-16 |
| 1578906392 | Kwong-hon Chow | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2013-04-10 |
| 1255588190 | Kara Dawn Beasley | Neurological Surgery | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2008-08-21 |
| 1376769471 | David Allan Shafer | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2007-04-17 |
| 1881634194 | Ewell Lee Nelson | Neurological Surgery | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2006-06-07 |
| 1740229236 | Jeffrey J Thramann | Neurological Surgery | 1155 Alpine Ave, Suite 320, Boulder, CO 80304-3495 | 2006-06-06 |
| 1093752834 | Boulder Neurosurgical Associates | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2006-06-01 |
| 1720033939 | Alan Thomas Villavicencio | Neurological Surgery | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2006-05-24 |
| 1699730986 | Sharad Rajpal | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2006-04-19 |
| 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.