BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC (NPI# 1952522997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952522997 |
| Entity Type | Organization |
| Organization Name | BOULDER VALLEY ASTHMA & ALLERGY CLINICS, PC |
| Practice Address |
3950 Broadway St Boulder CO 80304-1104 |
| Mailing Address |
1746 Cole Blvd Ste 320 Lakewood CO 80401-3208 |
| Practice Telephone | 3032341067 |
| Practice Fax Number | 3032322967 |
| Mailing Telephone | 3032341067 |
| Mailing Fax Number | 3032322967 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MARK DAVID MENICH (PHYSICIAN) |
| Authorized Official Telephone | 3032341067 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 04006102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835507 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 12000 Pecos St Ste 250, Westminster, CO 80234-3491 | 2020-06-10 |
| 1144845603 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 9950 W 80th Ave Ste 14, Arvada, CO 80005-3914 | 2020-06-10 |
| 1437774908 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 1660 S Albion St Ste 907, Denver, CO 80222-4046 | 2020-06-10 |
| 1801411376 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 5944 S Kipling Pkwy Ste 201, Littleton, CO 80127-2590 | 2020-06-10 |
| 1346865813 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 588 N Us Highway 287 Ste 204, Lafayette, CO 80026-2615 | 2020-06-10 |
| 1902421472 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 8200 E Belleview Ave Ste 320c, Greenwood Village, CO 80111-2607 | 2020-06-10 |
| 1174148647 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 286 16th St, Burlington, CO 80807-1651 | 2020-06-10 |
| 1609491174 | Boulder Valley Asthma & Allergy Clinics, PC | Specialist | 1746 Cole Blvd Ste 320, Lakewood, CO 80401-3208 | 2020-06-10 |
| Street Address |
3950 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429153 | S. Allan Bock | Specialist | 3950 Broadway St, Boulder, CO 80304-1104 | 2006-06-02 |
| 1356941769 | Boulder Valley Asthma & Allergy Clinics | Specialist | 3950 Broadway St, Boulder, CO 80304-1104 | 2020-10-27 |
| 1417983438 | Mark David Menich | Allergy & Immunology | 3950 Broadway St, Boulder Valley Asthma and Allergy Clinics, Boulder, CO 80304-1104 | 2006-06-23 |
| 1649217035 | Lloyd D Gelman | Specialist | 3950 Broadway St, Boulder, CO 80304-1104 | 2006-06-02 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1356719058 | Jenna Heilers Otr LLC | Specialist | 2135 Upland Ave, Boulder, CO 80304-0937 | 2015-09-11 |
| 1316284235 | Rocky Mountain Center for Advanced Medicine | Specialist | 4790 Table Mesa Dr Ste 202, Boulder, CO 80305-5660 | 2013-01-11 |
| 1609123470 | Terry Ann Pallister | Specialist | 16 Whitetail Rd, Boulder, MT 59632-9727 | 2012-08-10 |
| 1104107960 | Denise K Bell | Specialist | 2325 Balsam Dr, Boulder, CO 80304-3709 | 2011-09-06 |
| 1548569445 | Sydney Ann Cooper | Specialist | 2956 Glenwood Dr, Boulder, CO 80301-1306 | 2011-03-18 |
| 1437337094 | Timothy Justice Md PC | Specialist | 425 College Ave, Boulder, CO 80302-7131 | 2008-02-06 |
| 1134307606 | Frank Guerra Md PC | Specialist | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3495 | 2008-02-06 |
| 1598949737 | Connie L Grenz | Specialist | 303 East Third Ave, Boulder, MT 59632-1215 | 2007-12-24 |
| 1295938223 | Amy Lynne Stone | Specialist | 2691 Juniper Ave, Boulder, CO 80304-2462 | 2007-06-07 |
| 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.