FOOTHILLS SURGERY CENTER, LLC (NPI# 1104189042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104189042 |
| Entity Type | Organization |
| Organization Name | FOOTHILLS SURGERY CENTER, LLC |
| Practice Address |
4743 Arapahoe Ave Ste 101 Boulder CO 80303 |
| Mailing Address |
4743 Arapahoe Ave Ste 101 Boulder CO 80303-1123 |
| Practice Telephone | 3034357161 |
| Mailing Telephone | 7204415757 |
| Mailing Fax Number | 3039548412 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | LORI TAMBURO (ADMINISTRATOR) |
| Authorized Official Telephone | 7204415757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Foothills Surgery Center, LLC | 4743 Arapahoe Avenue, Suite 101, Boulder, CO 80303 |
| Street Address |
4743 ARAPAHOE AVE STE 101 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408021 | Anna T Roe | Physician Assistant | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2005-06-23 |
| 1629609516 | Nervous System LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2020-01-29 |
| 1851938815 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-12-09 |
| 1972159788 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-08-16 |
| 1255762191 | Nerve-us, LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2013-12-03 |
| 1396189650 | Dean P Springstead | Nurse Practitioner | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2013-04-17 |
| 1164779955 | Timothy A Oringer | Physician Assistant | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2012-08-10 |
| 1073898664 | Sara Kadlec | Physician Assistant | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2011-10-15 |
| 1417243254 | Kyle Jordan Marthaller | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2011-06-21 |
| 1851521389 | Christine Andrea Zakar | Physician Assistant | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2009-07-17 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148360 | Boulder Community Musculoskeletal Surgery Center, LLC | Clinic/Center | 4740 Pearl Pkwy Ste 100, Boulder, CO 80301-3082 | 2005-07-20 |
| 1962668319 | Boulder Medical Center, PC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2008-08-05 |
| 1558526293 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2008-07-22 |
| 1275722621 | Ck Leasing, LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819873 | Lone Tree Surgery Center, LLC | Clinic/Center | 9218 Kimmer Dr Ste 101, Lone Tree, CO 80124-6733 | 2020-10-22 |
| 1770180986 | Audubon Ambulatory Surgery Center LLC | Clinic/Center | 6011 E Woodmen Rd Ste 200, Colorado Springs, CO 80923-2604 | 2020-10-01 |
| 1376155440 | Colorado Urologic Surgery Center, LLC | Clinic/Center | 3 Superior Dr Ste 301, Superior, CO 80027-8655 | 2020-08-20 |
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1366064032 | Care Dental Surgical Center of Denver LLC | Clinic/Center | 1111 S Abilene Ct, Aurora, CO 80012-4909 | 2020-05-15 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1821642661 | Steamboat Surgery Center, LLC | Clinic/Center | 705 Marketplace Plz Ste 150, Steamboat Springs, CO 80487-1800 | 2019-07-30 |
| 1679134795 | Greeley Endoscopy Center, LLC | Clinic/Center | 8227 W 20th St, Greeley, CO 80634-3039 | 2019-06-28 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1659842128 | Milestone Surgical Center LLC | Clinic/Center | 9800 Pyramid Ct Ste 300, Englewood, CO 80112-2667 | 2018-12-10 |
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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.