JENNAH DURHAM


Address: 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-2550
Phone: 7208480000

JENNAH DURHAM (NPI# 1063048486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063048486
Entity Type Individual
Full Name JENNAH DURHAM
Other Name JENNAH MANN
Credential MD
Practice Address 2150 Stadium Dr 2nd Floor
Boulder
CO 80309-2550
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 7208480000
Enumeration Date 2020-03-17
Last Update Date 2020-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
DR.0064216 CO Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
12631 E 17th Ave Ste B202, Aurora, CO 800452550 3037247378

Office Location

Street Address 2150 STADIUM DR 2ND FLOOR
City BOULDER
State CO
Zip Code 80309-2550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750763017 Ryan Jahn Orthopaedic Surgery 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 2015-06-23
1811371669 Adam Lindsay Orthopaedic Surgery 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 2015-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053887331 Christina Riseman Speech-Language Pathologist Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 2018-10-15
1942784228 Janae Elise Bell Specialist/Technologist Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 2018-09-21
1669856696 Kathryn Blau Psychologist Wardenburg Health Services 119 Ucb, Boulder, CO 80309 2015-07-20
1407142623 John D. Breck Family Medicine 1900 Wardenburg Way, Boulder, CO 80309 2011-06-27
1912217431 Paul Calvert Pharmacist Campus Box 119, Boulder, CO 80309 2010-10-18
1568798536 Brittany L Devoge Pharmacist 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 2009-10-27
1295968949 Mya M Bethune Counselor 104 Ucb, Center for Community S440, Boulder, CO 80309 2009-08-28
1245479377 Susan E Mead Pharmacist 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 2009-02-12
1881681120 Anne Elizabeth Miller Nurse Practitioner 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 2005-10-03
1720446222 University Physicians Incorporated Orthopaedic Surgery 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 2016-01-29
Find all providers in zip 80309

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750763017 Ryan Jahn Orthopaedic Surgery 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 2015-06-23
1497261523 Regenerative Orthopedics & Sports Medicine of Boulder Co Pllc Orthopaedic Surgery 350 Broadway St Ste 202, Boulder, CO 80305-3338 2017-12-27
1720446222 University Physicians Incorporated Orthopaedic Surgery 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 2016-01-29
1811371669 Adam Lindsay Orthopaedic Surgery 2150 Stadium Dr 2nd Floor, Boulder, CO 80309-1029 2015-07-10
1235308982 Boulder Institute for Sports Medicine, P.C. Orthopaedic Surgery 3000 Center Green Dr, Suite 150, Boulder, CO 80301-2364 2008-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649884057 Scl Health Medical Group - Denver, LLC Orthopaedic Surgery 1830 N Franklin St Ste 340, Denver, CO 80218-1128 2020-09-02
1700498797 Colorado Sports Medicine and Orthopaedics Orthopaedic Surgery 4500 E 9th Ave Ste 420, Denver, CO 80220-3931 2020-08-20
1033668322 University Physicians, Incorporated Orthopaedic Surgery 10103 Ridgegate Pkwy Ste 100, Cu Sports Medicine Sdh Lonetree, Lone Tree, CO 80124-5520 2016-09-27
1518353218 Valley View Hospital Association Orthopaedic Surgery 1830 Blake Ave Ste 207, Glenwood Spgs, CO 81601-4261 2015-04-09
1326276783 Thomas P Moore Md Phd PC Orthopaedic Surgery 32 Crested Mt. Way, Mt. Crested Butte, CO 81225 2009-06-24
1396919858 Stephanie Watson Mayer Orthopaedic Surgery 13123 E 16th Ave # B060, Aurora, CO 80045-7106 2008-04-16
1689889966 Orthopedic Surgery & Sports Medicine Specialist Orthopaedic Surgery 9141 Grant St Ste 10, Thornton, CO 80229-4374 2007-05-11
1023117850 Rocky Mountain Trauma Services Proff LLC Orthopaedic Surgery 13918 E Mississippi Ave, Suite 473, Aurora, CO 80012 2006-09-21
1215045133 Andrew W Parker Orthopaedic Surgery 4700 E.hale Pkwy, Ste 550, Denver, CO 80220-4053 2006-08-29
1720099187 Michael P Wertz Orthopaedic Surgery 1032 S 88th St, Louisville, CO 80027-4644 2006-08-11
Find all providers with the same taxonomy

Competitor

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City BOULDER
Zip Code 80309

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Dataset Information

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.

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