DR. STEPHANIE LYNN BOURQUE (NPI# 1366731556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366731556 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LYNN BOURQUE |
| Credential | M.D. |
| Practice Address |
13123 E 16th Ave Aurora CO 80045-7106 |
| Practice Telephone | 7207771234 |
| Mailing Telephone | 7207771234 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 52646 | CO | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
52646 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 35550864 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982134359 | Stephanie Bourque | Pharmacist | 4321 Carothers Pkwy, Franklin, TN 37067-5909 | 2017-06-18 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750934519 | Katherine Jameson | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-22 |
| 1144880725 | Kari Waterman | Pediatrics | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2019-06-17 |
| 1962866376 | Brianna M Liberio | Pediatrics | 13121 E 17th Ave, Aurora, CO 80045-2535 | 2016-04-12 |
| 1063806537 | Stephanie Baker | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-23 |
| 1629462460 | Lindsay Griebling | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-03-18 |
| 1265879134 | Aditi Gupta | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-05-31 |
| 1699018028 | Chirag Talati | Pediatrics | 2000 Ogden Ave, Aurora, IL 60504 | 2013-04-04 |
| 1184980526 | Laura Katherine Marrs | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2012-04-10 |
| 1417249806 | Laura Sherlock | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045 | 2011-05-04 |
| 1043500887 | Amy Hoyme | Pediatrics | 2000 Ogden Ave, Aurora, IL 60504-7222 | 2011-04-13 |
| Find all providers in AURORA | ||||
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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.