EUGENE E BOURNE (NPI# 1053347997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053347997 |
| Entity Type | Individual |
| Full Name | EUGENE E BOURNE |
| Credential | MD |
| Practice Address |
6428 S Blackhawk Way Aurora CO 80016-3149 |
| Practice Telephone | 7208705109 |
| Mailing Telephone | 7208705109 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20112 | CO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11960 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01201128 | 05 | |
| AZ | 636558 | 05 |
| Street Address |
6428 S BLACKHAWK WAY |
| City | AURORA |
| State | CO |
| Zip Code | 80016-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1104380443 | Yuki Dykes Dds PC | Dentist | 6240 S Main St., Ste 275, Aurora, CO 80016 | 2019-01-30 |
| 1578038436 | Capitol Peak Home Care Services | Home Health Aide | 16372 E Fremont Ave, Unit 11 Bldg 4, Aurora, CO 80016 | 2018-10-08 |
| 1881190791 | Rehoboth Home Support, LLC | Transportation Broker | 22735 E Frost Pl, Aurora, CO 80016 | 2018-04-02 |
| 1902336514 | Trey Medical Enteprises, Inc. | Family Medicine | 15033 E Maplewood Dr., Centennial, CO 80016 | 2017-06-15 |
| 1598293185 | Rocky Mountain Physicians Group, PC | Clinic/Center | 7460 S Gartrell Rd, Aurora, CO 80016 | 2017-05-26 |
| 1629501358 | Shanah Care Services | Home Health | 6012 S. Telluride Cir, Aurora, CO 80016 | 2017-04-10 |
| 1962888966 | Joseph Kuzemchak | Health Maintenance Organization | 6105 S. Parker Rd, Apt. 8103, Centennial, CO 80016 | 2015-08-03 |
| 1174902738 | Lindsey Moore Baker | Physical Therapist | 6202 S Parker Rd Unit 500, Centennial, CO 80016 | 2015-05-28 |
| 1093107724 | Nathan Mitchell | Specialist/Technologist, Other | 25480 E Hinsdale Pl, Aurora, CO 80016 | 2015-03-04 |
| Find all providers in zip 80016 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207815 | Amanuel Berhane Haile | Radiology | 130 Granby Way Unit C, Aurora, CO 80011-9166 | 2018-03-07 |
| 1629481551 | Cher, LLC | Radiology | 6159 S Southlands Pkwy, Unit B, Aurora, CO 80016-5317 | 2014-06-09 |
| 1407199730 | David Charles Gimarc | Radiology | 126056 E. 16th Avenue, Aurora, CO 80045-2527 | 2013-04-04 |
| 1841541828 | Claude Dean Baker | Radiology | 13901 E Saratoga Pl, Aurora, CO 80015 | 2012-10-01 |
| 1801063730 | Angela Valladares Otero | Radiology | 12631 East 17th Avenue. Ao1, Rm 2414., Anschutz Medical Campus. Radiology, Aurora, CO 80045-2816 | 2008-05-09 |
| 1477593325 | Aparna Vootkur | Radiology | 1325 N. Highland Ave., Provenca Mercy Medical Center/ Radiology Dept., Aurora, IL 60506 | 2006-06-08 |
| 1104809391 | Eduardo Seda | Radiology | 14301 E Cedar Ave, Suite E, Aurora, CO 80012-1432 | 2005-11-22 |
| 1659373587 | Helen M. Kellett | Radiology | Provena Mercy Medical Center / Pathology Department, 1325 North Highland Avenue, Aurora, IL 60506 | 2005-08-11 |
| 1295737195 | Edwin Dolin | Radiology | Provena Mercy Medical Center / Radiology Department, 1325 North Highland Avenue, Aurora, IL 60506 | 2005-08-11 |
| 1295736809 | David B. Wallace | Radiology | 325 N Highland Ave, Provena Mercy Medical Center, Aurora, IL 60506-3811 | 2005-08-04 |
| Find all providers in AURORA | ||||
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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.