HEALTHONE CLINIC SERVICES - BARIATRIC MEDICINE LLC (NPI# 1063048221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063048221 |
| Entity Type | Organization |
| Organization Name | HEALTHONE CLINIC SERVICES - BARIATRIC MEDICINE LLC |
| Practice Address |
5495 Arapahoe Ave Ste 100 Boulder CO 80303-1224 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 3032800900 |
| Mailing Telephone | 6153725426 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-20 |
| Authorized Official Name | WILLIAM M SMITHAM (VICE PRESIDENT) |
| Authorized Official Telephone | 3035848119 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTHONE CLINIC SERVICES - BARIATRIC MEDICINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702244 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 1808 Boise Ave Ste 120, Loveland, CO 80538-5020 | 2020-02-21 |
| 1780217398 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 6965 Tutt Blvd Ste 200, Colorado Springs, CO 80923-3598 | 2020-02-21 |
| 1487287090 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 10233 S Parker Rd Ste 202, Parker, CO 80134-9315 | 2020-02-21 |
| 1750914347 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 10099 Ridgegate Pkwy Ste 100, Lone Tree, CO 80124-5532 | 2020-02-21 |
| 1457963977 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 10103 Ridgegate Pkwy Ste 221, Lone Tree, CO 80124-5525 | 2020-08-17 |
| 1871127225 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 10099 Ridgegate Pkwy Ste 390, Lone Tree, CO 80124-5535 | 2020-02-25 |
| 1801420484 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 1719 E 19th Ave, Denver, CO 80218-1235 | 2020-02-24 |
| 1235763822 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 4700 Hale Pkwy Ste 200, Denver, CO 80220-4051 | 2020-02-24 |
| 1942833553 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 9191 Grant St, Thornton, CO 80229-4361 | 2020-02-21 |
| 1629601232 | Healthone Clinic Services - Bariatric Medicine LLC | Surgery | 1919 E 18th Ave, Denver, CO 80206-1107 | 2020-02-21 |
| Street Address |
5495 ARAPAHOE AVE STE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404400 | Stephen D Hoerler | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2005-08-15 |
| 1013564517 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2019-08-20 |
| 1811290646 | Courtney Catherine Pramann | Nurse Practitioner | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2010-12-16 |
| 1689715732 | Kelly C Moore-lawyer | Dietitian, Registered | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2007-02-10 |
| 1083764252 | Nancy Anne Peterson | Physician Assistant | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2007-01-11 |
| 1316032584 | Benjamin J Keidan | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2006-10-04 |
| 1356448369 | Melanie Scurry Ryan | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2006-09-20 |
| 1033181375 | Wael F. Garas | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 | 2006-02-02 |
| 1356323745 | Valerie E Lipetz | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 | 2005-11-19 |
| 1114908613 | Mark D Haimes | Internal Medicine | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2005-11-10 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 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 |
| 1023114006 | Kilsan Koh | Surgery | 1000 Alpine Ave, Suite 210, Boulder, CO 80304-3406 | 2006-09-16 |
| 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.