BOULDER WOMENS CARE PC (NPI# 1295894178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295894178 |
| Entity Type | Organization |
| Organization Name | BOULDER WOMENS CARE PC |
| Practice Address |
311 Mapleton Ave # 100 Boulder CO 80304-3979 |
| Mailing Address |
Po Box 17458 Boulder CO 80308-0458 |
| Practice Telephone | 3034410587 |
| Practice Fax Number | 3039960801 |
| Mailing Telephone | 3034410587 |
| Mailing Fax Number | 3039960801 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | MRS. MAKO SHIMODA (OWNER) |
| Authorized Official Telephone | 3034410587 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 56795 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 36257 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 34690 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 43546 | CO | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 42614 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01346907 | 05 | |
| CO | 55404251 | 05 | |
| CO | 80637779 | 05 | |
| CO | 23028327 | 05 |
| Street Address |
311 MAPLETON AVE # 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3979 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482880 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 2525 Arapahoe Ave # 200, Boulder, CO 80302-6720 | 2019-11-20 |
| 1871925362 | Marilyn Natalie Carol | Obstetrics & Gynecology | 4985 Moorhead Ave # 3657, High Mar Post Office, Boulder, CO 80305-5522 | 2013-08-06 |
| 1942599279 | Joseph L Printz | Obstetrics & Gynecology | 2455 Cragmoor Rd, Boulder, CO 80305-6809 | 2011-04-07 |
| 1043484082 | Boulder Gynecology & Minimally Invasive Surgery PC | Obstetrics & Gynecology | 4800 Riverbend Rd Ste 200, Boulder, CO 80301-2608 | 2008-04-22 |
| 1588859110 | Catherine C Fries | Obstetrics & Gynecology | 4745 Arapahoe, Suite 320, Boulder, CO 80303 | 2007-09-06 |
| 1316000169 | Boulder Management Services Organization | Obstetrics & Gynecology | 1155 Alpine, Suite 230, Boulder, CO 80304 | 2006-12-19 |
| 1851352330 | Mako Shimoda | Obstetrics & Gynecology | 4745 Arapahoe Avenue, Suite 320, Boulder, CO 80303 | 2006-04-01 |
| 1558344010 | Terri F Rosenbaum | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2005-11-29 |
| 1215925342 | Joseph Cohen | Obstetrics & Gynecology | 5377 Manhattan Cir Ste 204, Boulder, CO 80303-4345 | 2005-10-12 |
| 1518348580 | Portercare Adventist Health System | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2015-06-15 |
| 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.