ELISE MARIE ITANO (NPI# 1225449754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225449754 |
| Entity Type | Individual |
| Full Name | ELISE MARIE ITANO |
| Credential | MD |
| Practice Address |
2750 Broadway St Boulder CO 80304 |
| Mailing Address |
3727 Pecos St Denver CO 80211-2655 |
| Practice Telephone | 3034403000 |
| Mailing Telephone | 2103671223 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0062819 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7703 Floyd Curl Dr, San Antonio, TX 782293901 | 2105677000 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1013551852 | Reform Health & Rehab, LLC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-11-05 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336197631 | Bouldercentre for Orthopedics PC | Physical Medicine & Rehabilitation | 4740 Pearl Pkwy, Suite 200, Boulder, CO 80301-3078 | 2006-05-05 |
| 1659304343 | Sonja Kirsten Stilp | Physical Medicine & Rehabilitation | 311 Mapleton Ave, Suite 100, Boulder, CO 80304-3979 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336615970 | Alpine Health & Wellness | Physical Medicine & Rehabilitation | 3955 E Exposition Ave Ste 505, Denver, CO 80209-5030 | 2018-10-22 |
| 1689189714 | Primus Integrated Medicine, LLC | Physical Medicine & Rehabilitation | 16830 Northgate Dr Unit 130, Parker, CO 80134-5778 | 2017-12-12 |
| 1639610389 | Comprehensive Rehabilitation & Pain Specialists, Pllc. | Physical Medicine & Rehabilitation | 9351 Grant St Ste 490, Thornton, CO 80229-4365 | 2017-03-14 |
| 1962860528 | Colorado Health Providers LLC | Physical Medicine & Rehabilitation | 7251 W 20th St # Blvdgn, Greeley, CO 80634-4625 | 2016-02-10 |
| 1215306246 | A Hall Enterprises, LLC | Physical Medicine & Rehabilitation | 9695 S Yosemite St Ste 373, Lone Tree, CO 80124-2888 | 2015-09-21 |
| 1831572759 | The Peak Physical Medicine | Physical Medicine & Rehabilitation | 2955 Professional Pl Ste 201, Colorado Springs, CO 80904-8140 | 2015-07-09 |
| 1689935371 | Jason P Markle | Physical Medicine & Rehabilitation | 403 Summit Blvd Unit 201, Broomfield, CO 80021-8253 | 2012-05-30 |
| 1356626295 | Mountain Medical Injury and Pain Professionals LLC | Physical Medicine & Rehabilitation | 5534 Salvia Ct, Golden, CO 80403-1118 | 2011-10-11 |
| 1013200021 | Integrated Sports & Spine LLC | Physical Medicine & Rehabilitation | 380 Empire Rd Ste 120, Lafayette, CO 80026-2677 | 2011-05-24 |
| 1922310119 | Amar Patel | Physical Medicine & Rehabilitation | 9195 Grant St Ste 300, Thornton, CO 80229-4386 | 2010-07-05 |
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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.