JONATHAN REID SPRAGUE


Address: 4747 Arapahoe Ave, Boulder, CO 80303-1133
Phone: 3034157610

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CO 35222271 05

Other Providers JONATHAN SPRAGUE

NPI Name Taxonomy Address Enumeration
1265913933 Jonathan Sprague Behavioral Analyst 1947 Galileo Ct, Davis, CA 95618-4882 2018-08-22

Office Location

Street Address 4747 ARAPAHOE AVE
City BOULDER
State CO
Zip Code 80303-1133

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City BOULDER
Zip Code 80303

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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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