JONATHAN REID SPRAGUE (NPI# 1164748299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164748299 |
| Entity Type | Individual |
| Full Name | JONATHAN REID SPRAGUE |
| Credential | MD |
| Practice Address |
4747 Arapahoe Ave Boulder CO 80303-1133 |
| Mailing Address |
5450 Western Ave Suite B Boulder CO 80301-2709 |
| Practice Telephone | 3034157610 |
| Practice Fax Number | 3034157618 |
| Mailing Telephone | 3034157610 |
| Mailing Fax Number | 3034157618 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2017-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DR.0052120 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 35222271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265913933 | Jonathan Sprague | Behavioral Analyst | 1947 Galileo Ct, Davis, CA 95618-4882 | 2018-08-22 |
| Street Address |
4747 ARAPAHOE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074196 | Boulder Community Health | General Acute Care Hospital | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2005-12-19 |
| 1720686371 | Boulder Emergency Physicians PC | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-15 |
| 1083212989 | Boulder Emergency Physicians PC | Emergency Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-13 |
| 1083239941 | Marguerite Rice Shifrin | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-06-16 |
| 1962031666 | Ian Mathew Morlock | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-04-04 |
| 1356980205 | Sean Wallis | Hospitalist | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-12-24 |
| 1144877523 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-08-21 |
| 1689147555 | Angela C Sloan | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-01-03 |
| 1144707506 | Kimberly Ann North | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2018-07-27 |
| 1881081107 | Joseph Patrick Raycroft | Internal Medicine | 4747 Arapahoe Ave, Boulder, CO 80303 | 2015-04-24 |
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| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1598168304 | James Reynolds | Internal Medicine | 2855 Lafayette Dr, Boulder, CO 80305-7106 | 2014-10-07 |
| 1790191864 | Steven Schlosser | Internal Medicine | 3080 Pearl Pkwy # D107, Boulder, CO 80301-2461 | 2014-07-09 |
| 1447599592 | Michael Gary Kahn | Internal Medicine | 3980 Greenbriar Blvd, Boulder, CO 80305-7046 | 2013-02-10 |
| 1518087915 | Christopher A Trojanovich | Internal Medicine | 5495 Arapahoe Ave Ste 200, Boulder, CO 80303 | 2007-03-30 |
| 1396872347 | Jeremiah I Kaplan | Internal Medicine | 1985 Bluebell Ave, Boulder, CO 80302-8023 | 2007-02-27 |
| 1083754774 | Christina Hope Brown Bryan | Internal Medicine | Wardenburg Health Ctr, U of Colorado, Boulder, CO 80309-0119 | 2007-02-08 |
| 1023156254 | Bradley D Fanestil | Internal Medicine | 4801 Riverbend Rd Ste 120b, Boulder, CO 80301-2613 | 2007-02-01 |
| 1629131974 | Daniel Abram Kinderlehrer | Internal Medicine | 2975 13th St, Boulder, CO 80304-3101 | 2006-12-18 |
| 1750441580 | John S O'hearne | Internal Medicine | 1823 Folsom St, Suite 200, Boulder, CO 80302-5746 | 2006-12-11 |
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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.