KILSAN KOH (NPI# 1023114006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023114006 |
| Entity Type | Individual |
| Full Name | KILSAN KOH |
| Credential | M.D. |
| Practice Address |
1000 Alpine Ave Suite 210 Boulder CO 80304-3406 |
| Practice Telephone | 3034431008 |
| Practice Fax Number | 3034171111 |
| Mailing Telephone | 3034431008 |
| Mailing Fax Number | 3034171111 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 29339 | CO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | G87774 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | O1293398 | 05 |
| Street Address |
1000 ALPINE AVE SUITE 210 |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319442 | Anne W. Birnbaum | Dentist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2005-07-11 |
| 1255945127 | Ryan Babineaux | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2020-09-08 |
| 1295378149 | Amy Nitchman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-10-23 |
| 1285275453 | Andi Williams | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1720629868 | Danny Korman | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-09-30 |
| 1851948467 | Kelly Soberay | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-08-20 |
| 1538721790 | Kathryn Saldana | Counselor | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-07-08 |
| 1952861825 | Isabelle Marie Fellay | Psychologist | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-25 |
| 1477011864 | Kenna Dickard | Case Manager/Care Coordinator | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-05 |
| 1336606961 | Anthony Tyler Brosi | Social Worker | 1000 Alpine Ave, Boulder, CO 80304-3406 | 2019-03-01 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457663163 | Justin Nicklaus Richardson | Surgery | 4743 Arapahoe Ave Ste 100, Boulder, CO 80303-1123 | 2010-07-10 |
| 1285881474 | Matthew John Gawart | Surgery | 4743 Arapahoe Avenue, Suite 102, Boulder, CO 80303 | 2008-08-19 |
| 1063048221 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2020-03-19 |
| 1417243254 | Kyle Jordan Marthaller | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2011-06-21 |
| 1396939203 | Alpine Surgical LLC | Surgery | 4743 Arapahoe Ave, Suite 102, Boulder, CO 80303-1123 | 2007-09-04 |
| 1427267632 | Susan S Hagen | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2007-05-22 |
| 1295818474 | Richard Jay Fox | Surgery | 4743 Arapahoe Ave, #102, Boulder, CO 80303-1113 | 2006-10-23 |
| 1104909381 | Charles Graham Jones | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2006-10-23 |
| 1376557967 | Charles Jones Md PC | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2006-07-28 |
| 1659339828 | Akinlolu S Beckley | Surgery | 4743 Arapahoe Ave, Suite 102, Boulder, CO 80303-1113 | 2006-05-03 |
| 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.