JENNAH DURHAM (NPI# 1063048486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
DR.0064216 | CO | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
12631 E 17th Ave Ste B202, Aurora, CO 800452550 | 3037247378 |
Street Address |
2150 STADIUM DR 2ND FLOOR |
City | BOULDER |
State | CO |
Zip Code | 80309-2550 |
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 |
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 Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
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 |
Please comment or provide details below to improve the information on JENNAH DURHAM.
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.