BOULDER VALLEY IOM, LLC


Address: 4375 W 118th Place, Westminster, CO 80031
Phone: (732) 873-5133

BOULDER VALLEY IOM, LLC (NPI# 1316464076) 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) 1316464076
Entity Type Organization
Organization Name BOULDER VALLEY IOM, LLC
Practice Address 4375 W 118th Place
Westminster
CO 80031
Mailing Address 4375 W 118th Pl
Westminster
CO 80031-5041
Practice Telephone (732) 873-5133
Practice Fax Number 7139043072
Mailing Telephone 7328735133
Mailing Fax Number 7139043072
Enumeration Date 2017-08-24
Last Update Date 2017-08-24
Authorized Official Name ALEXANDRA LEWIS (ONWER)
Authorized Official Telephone 2023169902
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Boulder Valley IOM, LLC 4375 W. 118th Place, Westminster, CO 80031

Office Location

Street Address 4375 W 118TH PLACE
City WESTMINSTER
State CO
Zip Code 80031

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1063936383 Andrea Presnall Counselor 8787 Turnpike Pkwy, Ste 270, Westminster, CO 80031 2017-07-28
1497278261 Katherine Sara Taylor Counselor 8787 Turnpike Drive, #120, Westminster, CO 80031 2017-07-24
1881135796 Steele Family Counseling, LLC Marriage & Family Therapist 8778 Wolff Court, Suite 202, Westminster, CO 80031 2017-03-10
1235599762 Katie Coyle Licensed Practical Nurse 3964 Main St, 104, Westminster, CO 80031 2016-02-25
1467838037 James Weiss Counselor 8407 N Bryant St., Wetminister, CO 80031 2015-08-06
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194246058 Ascent Medical LLC Psychiatry & Neurology 5375 W 73rd Place, Westminster, CO 80003 2017-06-30
1346433182 Young J Cho, M.d., P.a. Psychiatry & Neurology 210 Washington Heights Med Ctr, Westminster, MD 21157-5633 2007-08-24
1205858925 Young Cho Psychiatry & Neurology 210 Washingotn Hgts Medical Center, Westminster, MD 21157 2006-07-24
1215255112 Lauren E Middleton-hoang Psychiatry & Neurology 14300 Orchard Pkwy, Westminster, CO 80023-9206 2010-05-17
1871758037 Aruna Bollineni Psychiatry & Neurology 193 Stoner Ave, Suite 320, Westminster, MD 21157-5587 2008-07-26
1013131390 Boniface O Onubah Psychiatry & Neurology 14560 Magnolia St, Ste 101, Westminster, CA 92683-4791 2007-04-11
1104966803 Sandra K Ruby Psychiatry & Neurology 193 Stoner Ave, Suite 320, Westminster, MD 21157-5587 2007-02-08
1821059957 Nancy Thien Vu Psychiatry & Neurology 14571 Magnolia St, Ste 201, Westminster, CA 92683-5574 2006-03-29

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1942824610 Neurology of The Rockies, LLC Psychiatry & Neurology 125 Inverness Dr E Ste 330, Englewood, CO 80112-5138 2020-05-29
1346862372 Poudre Valley Medical Group, LLC Psychiatry & Neurology 16222 W Us Highway 24 Ste 220, Woodland Park, CO 80863-8763 2020-05-13
1811534050 Neurology of The Rockies, LLC Psychiatry & Neurology 4350 Limelight Ave Ste 250, Castle Rock, CO 80109-8034 2019-12-06
1629614557 Kenpro, LLC Psychiatry & Neurology 5279 Shade Tree Ln, Parker, CO 80134-5029 2019-11-26
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1902377179 Para Health, LLC Psychiatry & Neurology 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 2018-12-16
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Competitor

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City WESTMINSTER
Zip Code 80031

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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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