MARY DAN EADES


Address: 6525 Gunpark Dr # 150-504, Boulder, CO 80301-3346
Phone: 7203406306

MARY DAN EADES (NPI# 1164790994) 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) 1164790994
Entity Type Individual
Full Name MARY DAN EADES
Credential MD
Practice Address 6525 Gunpark Dr # 150-504
Boulder
CO 80301-3346
Practice Telephone 7203406306
Practice Fax Number 8055653142
Mailing Telephone 7203406306
Mailing Fax Number 8055653142
Enumeration Date 2011-12-07
Last Update Date 2011-12-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 36065 CO Allopathic & Osteopathic Physicians

Office Location

Street Address 6525 GUNPARK DR # 150-504
City BOULDER
State CO
Zip Code 80301-3346

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326396599 Michael Robert Eades General Practice 6525 Gunpark Dr # 150-504, Boulder, CO 80301-3346 2012-08-20

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1265031454 Jonathan William Garson Social Worker 1790 30th St., Boulder, CO 80301 2020-10-20
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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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871068528 Rocky Mountain Regenerative Medicine, Pllc General Practice 2260 Baseline Rd Ste 102, Boulder, CO 80302-7740 2018-10-09
1841548674 Edward Cosgriff General Practice 5920 Longbow Dr, Boulder, CO 80301-3202 2012-08-28
1376872259 Richard Steinberg General Practice 2939 10th St, Boulder, CO 80304-3019 2009-12-23
1669023495 Jordan Urban General Practice 703 Walnut St, Boulder, CO 80302-5032 2019-09-23
1326396599 Michael Robert Eades General Practice 6525 Gunpark Dr # 150-504, Boulder, CO 80301-3346 2012-08-20
1871735381 Teresa Rebibo Fox General Practice 4840 Riverbend Rd, 100, Boulder, CO 80301-2659 2009-03-30
1932340494 Larry Eckstein, M.d., P.C. General Practice 2760 29th St, Suite 2-d, Boulder, CO 80301-1214 2009-03-13
1649497066 Diana L Wetzbarger General Practice 580 Mohawk Dr, Boulder, CO 80303-3712 2007-04-19
1902962939 Gary Bruce Clark General Practice 1790 30th St, Suite 230, Boulder, CO 80301-1022 2006-12-27
1821000704 Larry Eckstein General Practice 2760 29th St, Suite 2-d, Boulder, CO 80301-1214 2006-08-12
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Competitor

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City BOULDER
Zip Code 80301

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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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