DR. DIANE LUCY KALLGREN (NPI# 1144214016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144214016 |
| Entity Type | Individual |
| Full Name | DR. DIANE LUCY KALLGREN |
| Credential | M.D. |
| Practice Address |
3434 47th St #200 Boulder CO 80301-1880 |
| Practice Telephone | 3034448100 |
| Practice Fax Number | 3034448113 |
| Mailing Telephone | 3034448100 |
| Mailing Fax Number | 3034448113 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 33197 | CO | Other Service Providers |
| Y | 207N00000X | Dermatology | 33197 | CO | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
33197 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
3434 47TH ST #200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235678921 | Sarah Rose | Counselor | 3434 47th St, Suite 130, Boulder, CO 80301-1880 | 2017-02-15 |
| 1134524275 | Healingquest LLP | Community/Behavioral Health | 3434 47th St, Suite 130, Boulder, CO 80301-1880 | 2014-10-31 |
| 1053658930 | Andrew Newkirk Rose | Counselor | 3434 47th St, Suite 101, Boulder, CO 80301-1880 | 2013-01-11 |
| 1609129261 | Kristin Dianne Kirkbride | Social Worker | 3434 47th St, Suite 110, Boulder, CO 80301-1880 | 2012-10-19 |
| 1679710305 | Lisa Kelly | Physical Therapist | 3434 47th St, Suite 107, Boulder, CO 80301-1880 | 2009-01-16 |
| 1457507808 | Nancy Bower Hillmer | Occupational Therapist | 3434 47th St, Suite 105, Boulder, CO 80301-1880 | 2008-08-15 |
| 1508041609 | Elizabeth Christine Turner | Chiropractor | 3434 47th St, Suite 120, Boulder, CO 80301-1880 | 2008-01-08 |
| 1700072592 | Urn Control, LLC | Urology | 3434 47th St, Suite 101, Boulder, CO 80301-1880 | 2007-09-14 |
| 1790978393 | Kallgren Dermatology Clinic, P.C. | Dermatology | 3434 47th St, #200, Boulder, CO 80301-1880 | 2007-08-27 |
| 1023233707 | Joseph Randall Lutt | Internal Medicine | 3434 47th St, Suite 201, Boulder, CO 80301-1880 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1215217096 | Stacey Pilkington | Dermatology | 5365 Spine Rd Ste C, Boulder, CO 80301-3324 | 2011-08-24 |
| 1538458963 | Laura Sturgess Huff | Dermatology | 2880 Folsom St Ste 200, Boulder, CO 80304 | 2011-04-06 |
| 1033378567 | Max Russell Greenlee Jr. | Dermatology | 870 Juniper Ave, Boulder, CO 80304-1724 | 2008-06-09 |
| 1346396926 | Brian Bailey | Dermatology | 1230 Chambers Dr, Boulder, CO 80305-6729 | 2007-01-26 |
| 1184699159 | John R Steinbaugh | Dermatology | 3575 Broadway St, Boulder, CO 80304-1825 | 2006-02-22 |
| 1740641307 | University Physicians, Incorporated | Dermatology | 2935 Baseline Rd, Boulder, CO 80303-2366 | 2016-03-10 |
| 1790145183 | Integrated Dermatology of Boulder Creek, LLC | Dermatology | 3575 Broadway St, Boulder, CO 80304-1825 | 2016-02-29 |
| 1376938407 | Lindsay Nicole Boyers | Dermatology | 2750 Broadway St, Boulder, CO 80304-3573 | 2015-04-06 |
| 1275953689 | Kallgren Dermatology | Dermatology | 3434 47th Street, Suite 200, Boulder, CO 80301 | 2014-04-24 |
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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.