Shannon Sovndal (NPI# 1912984394, PAC ID# 5597732842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1912984394 |
| PAC ID by PECOS | 5597732842 |
| Professional Enrollment ID | I20051130000012 |
| Full Name | Shannon Sovndal |
| Organization Legal Name | BOULDER EMERGENCY PHYSICIANS P.C. |
| Address |
1100 Balsam Ave Boulder CO 80304-3404 |
| Phone Number | 3034402037 |
| Gender | M |
| Credential | MD |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4385556414 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | FOOTHILLS HOSPITAL |
| 060001 | NORTH COLORADO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Balsam Ave, Boulder, CO 80304-3404 | 3034402037 | BOULDER EMERGENCY PHYSICIANS P.C. |
| 1000 W S Boulder Rd, Lafayette, CO 80026-2752 | 3034154300 | BOULDER EMERGENCY PHYSICIANS P.C. |
| 1000 W S Boulder Rd, Community Medical Center, Lafayette, CO 80026-2752 | 3036664357 | BOULDER COMMUNITY HEALTH |
| 1000 W S Boulder Rd, Lafayette, CO 80026-2752 | 3036664357 | BOULDER COMMUNITY HEALTH |
| Organization Legal Name | BOULDER EMERGENCY PHYSICIANS P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Macdade | Emergency Medicine | Boulder Emergency Physicians P.C. | 1000 W S Boulder Rd, Lafayette, CO 80026-2752 |
| Todd A Dorfman | Emergency Medicine | Boulder Emergency Physicians P.C. | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Street Address |
1100 BALSAM AVE |
| City | BOULDER |
| State | CO |
| Zip | 80304-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard G Gildersleeve | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Sean C Malin | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Justin P Meschler | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Maher Salahi | Interventional Radiology | Boulder Radiologists Inc PC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Brian S Gebhardt | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| William S Trask Iv | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Mihai B Murarescu | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Owen G Ellis | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Jessica H Statz | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Stephen K Layne | Anesthesiology | Boulder Valley Anesthesiology, LLC | 1100 Balsam Ave, Boulder, CO 80304-3404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Rumbyrt | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| William H Newman | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Francine G Andrews | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Karen Wegela | Psychologist, Clinical | 2590 Norwood Ave, Boulder, CO 80304-1363 | |
| Carol J Schneider | Psychologist, Clinical | 1229 Kalmia Ave, Boulder, CO 80304-1810 | |
| Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Todd C. Becker | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
| Find all physicians in zip 80304 | |||
| City | BOULDER |
| Zip Code | 80304 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BOULDER + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Shannon Sovndal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.