BRIAN T. SHEA DO LLC (NPI# 1235327198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235327198 |
| Entity Type | Organization |
| Organization Name | BRIAN T. SHEA DO LLC |
| Practice Address |
1790 30th St Suite 120 Boulder CO 80301-1022 |
| Mailing Address |
Po Box 2086 Fort Collins CO 80522-2086 |
| Practice Telephone | 3034470022 |
| Mailing Telephone | 3034443443 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | BRIAN T SHEA (PRESIDENT) |
| Authorized Official Telephone | 3034443443 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 36013 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 92021328 | 05 |
| Street Address |
1790 30TH ST SUITE 120 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184381 | Myra Beth Tuckerman | Family Medicine | 1790 30th St, Suite 308, Boulder, CO 80301-1022 | 2005-09-12 |
| 1649883752 | Abigail Mucklow | Occupational Therapist | 1790 30th St, Boulder, CO 80301-1022 | 2020-08-28 |
| 1760867089 | Ramya Shyam | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-07-28 |
| 1205215662 | Boulder Cognitive and Linguistic Center Inc | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-05-19 |
| 1316355365 | Hilary Booco | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2014-07-22 |
| 1992072094 | Ricardo Esparza, Ph.d., Pllc | Clinic/Center | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2011-11-17 |
| 1194012583 | Gudrun A Dilger | Counselor | 1790 30th St, Suite 245, Boulder, CO 80301-1022 | 2011-07-06 |
| 1174769665 | Family Home Health LLC | Day Training/Habilitation Specialist | 1790 30th St, Suite 350, Boulder, CO 80301-1022 | 2009-01-05 |
| 1386899169 | Ruth Wharton | Counselor | 1790 30th St, Suite 200, Boulder, CO 80301-1022 | 2008-11-20 |
| 1679735732 | Jacob Hans | Chiropractor | 1790 30th St, Suite 270, Boulder, CO 80301-1022 | 2008-06-30 |
| 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 | 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 |
| Find all providers in BOULDER | ||||
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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.