PEARL PODIATRY HEALTH CENTER, LLC (NPI# 1013389840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013389840 |
Entity Type | Organization |
Organization Name | PEARL PODIATRY HEALTH CENTER, LLC |
Practice Address |
2575 Pearl St Suite #240 Boulder CO 80302-3868 |
Mailing Address |
27087 Gratiot Ave 2nd Floor Roseville MI 48066-2947 |
Practice Telephone | 3034422910 |
Practice Fax Number | 3034422931 |
Mailing Telephone | 5864989440 |
Mailing Fax Number | 5864989460 |
Enumeration Date | 2015-10-20 |
Last Update Date | 2015-10-20 |
Authorized Official Name | DR. JOHN JACHIMIAK (OWNER/PRESIDENT) |
Authorized Official Telephone | 3034422910 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Pearl Podiatry Health Center, LLC | 2575 Pearl Street, Suite 240, Boulder, CO 80302 |
Street Address |
2575 PEARL ST SUITE #240 |
City | BOULDER |
State | CO |
Zip Code | 80302-3868 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043227390 | John S Jachimiak | Podiatrist | 2575 Pearl St, Suite 240, Boulder, CO 80302-3851 | 2006-08-01 |
1609205525 | Elliott B. Higgins D.m.d. P.C. | Dental Hygienist | 2575 Pearl St, Suite 200, Boulder, CO 80302-3868 | 2013-11-01 |
1255574182 | Boulder County Foot & Ankle, PC | Clinic/Center | 2575 Pearl St, #240, Boulder, CO 80302-3851 | 2009-04-08 |
1619095239 | Thomas J. Greany | Dentist | 2575 Pearl St, Suite 200, Boulder, CO 80302-3868 | 2007-03-26 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
1982162285 | Spot On Drug Testing | Clinic/Center | 2000 21st St Unit B, Boulder, CO 80302-4501 | 2019-03-05 |
1205121936 | Find Your Balance Acupuncture | Clinic/Center | 2760 29th St Unit 1c, Boulder, CO 80301 | 2011-06-10 |
1285962308 | Pain Free Today, P.C. | Clinic/Center | 3014 Bluff St Ste 201, Boulder, CO 80301-2165 | 2009-12-01 |
1609822030 | Boulder Community Health | Clinic/Center | 5450 Western Ave Ste B, Boulder, CO 80301-2709 | 2006-05-26 |
1619577681 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2020-10-29 |
1306493879 | Boulder Community Health | Clinic/Center | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2019-08-20 |
1093289472 | Meridian Wellness, LLC | Clinic/Center | 842 W Hwy 12, Boulder, UT 84716 | 2019-01-18 |
1447603469 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 580 Mohawk Dr, Boulder, CO 80303-3712 | 2016-07-14 |
1558737973 | Colorado Body Wisdom | Clinic/Center | 1800 30th St, Suite 309, Boulder, CO 80301-1088 | 2015-08-19 |
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.