MR. VAHEED WESTON FAKOOR SEVVOM (NPI# 1043404817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043404817 |
| Entity Type | Individual |
| Full Name | MR. VAHEED WESTON FAKOOR SEVVOM |
| Credential | PA-C |
| Practice Address |
5387 Manhattan Cir Suite 200 Boulder CO 80303-4284 |
| Practice Telephone | 3034947773 |
| Practice Fax Number | 3034941104 |
| Mailing Telephone | 3034947773 |
| Mailing Fax Number | 3034941104 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2706 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 72327715 | 05 |
| Street Address |
5387 MANHATTAN CIR SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700883782 | Audrey M Waldron | Physical Therapist | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4284 | 2005-07-05 |
| 1922497684 | Balance and Neurologic Center of The Rockies LLC | Physical Therapist | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4284 | 2015-01-20 |
| 1992968671 | Stephanie Carole Pascoe | Physical Therapist | 5387 Manhattan Cir, Suite 100, Boulder, CO 80303-4284 | 2008-07-03 |
| 1346367091 | Jeffrey W Ryg | Physical Therapist | 5387 Manhattan Cir, Suite 100a, Boulder, CO 80303-4284 | 2007-03-26 |
| 1578601969 | Creekside Physical Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Ste 201, Boulder, CO 80303-4284 | 2007-02-01 |
| 1609897578 | David Eric Tanner | Neuromusculoskeletal Medicine & OMM | 5387 Manhattan Cir, Suite 201, Boulder, CO 80303-4284 | 2006-07-23 |
| 1811983802 | Cliff Gronseth | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4284 | 2005-09-23 |
| 1013902352 | John Tobey | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Suite 200, Boulder, CO 80303-4284 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1568005510 | Haley Reiter | Physician Assistant | 5387 Manhattan Cir Ste 201, Boulder, CO 80303-4283 | 2019-10-22 |
| 1326515487 | Kathryn Desellem Devlin | Physician Assistant | 4222 Monroe Dr Apt D, Boulder, CO 80303-2189 | 2018-10-26 |
| 1396244836 | Trisha Quon | Physician Assistant | 4743 Arapahoe Ave Ste 102, Boulder, CO 80303-1123 | 2018-02-11 |
| 1992152482 | Hillary Smyth | Physician Assistant | 75 Manhattan Dr Ste 208, Boulder, CO 80303-4252 | 2016-05-16 |
| 1093180341 | Melissa Ortega | Physician Assistant | 565 Manhattan Dr, 102, Boulder, CO 80303-4051 | 2015-12-10 |
| 1265853790 | David James Mackey | Physician Assistant | 565 Hartford Dr, Boulder, CO 80305-5714 | 2013-12-31 |
| 1023381993 | Ara Rustad Haupt | Physician Assistant | 75 Manhattan Dr Mindful Pediatrics, Suite #4, Boulder, CO 80303 | 2012-02-22 |
| 1336339894 | Amanda Lauren Lapointe | Physician Assistant | 3434 47th St Ste 200, Boulder, CO 80301-1817 | 2007-07-30 |
| 1487855763 | Monica R Giamellaro | Physician Assistant | 1155 Alpine Ave Ste 280, Boulder, CO 80304-3493 | 2007-05-31 |
| 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.