TIMOTHY JOSEPH MAZZOLA (NPI# 1437130424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437130424 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOSEPH MAZZOLA |
| Credential | M.D. |
| Practice Address |
350 Broadway St Ste 202 Boulder CO 80305 |
| Mailing Address |
350 Broadway St Ste 202 Boulder CO 80305-3338 |
| Practice Telephone | 7204630567 |
| Practice Fax Number | 3034945371 |
| Mailing Telephone | 7204630567 |
| Mailing Fax Number | 3034945371 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
41636 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 86956311 | 05 |
| Street Address |
350 BROADWAY ST STE 202 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497261523 | Regenerative Orthopedics & Sports Medicine of Boulder Co Pllc | Orthopaedic Surgery | 350 Broadway St Ste 202, Boulder, CO 80305-3338 | 2017-12-27 |
| 1053751032 | Derek Garn Rodeback | Physical Medicine & Rehabilitation | 350 Broadway St Ste 202, Boulder, CO 80305 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1497908362 | All Sports Medicine of Boulder | Family Medicine | 3825 Iris Ave, Suite 300, Boulder, CO 80301-2003 | 2008-10-23 |
| 1326069998 | Nathan Michael Josephs | Family Medicine | 3055 47th Street, Boulder, CO 80301 | 2006-07-21 |
| 1881868008 | Sherrie Lynn Ballantine-talmadge | Family Medicine | 2150 Stadium Dr, Boulder, CO 80309-0001 | 2008-04-18 |
| 1508912197 | Tracy Casault | Family Medicine | 119 Ucb, Boulder, CO 80309-0119 | 2007-01-26 |
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| 1093338840 | St Mary's Hospital and Medical Center, Inc | Family Medicine | 2698 Patterson Rd Unit 42, Grand Junction, CO 81506-8818 | 2020-05-27 |
| 1356980940 | Catholic Health Initiatives Colorado | Family Medicine | 4925 N Nevada Ave, Colorado Springs, CO 80918-8600 | 2019-12-30 |
| 1225525132 | Pueblo Sports and Family Medicine Pllc | Family Medicine | 1315 Fortino Blvd Ste C, Pueblo, CO 81008-1981 | 2018-04-16 |
| 1013274281 | Sports and Family Medicine of Colorado | Family Medicine | 6390 Gardenia St Unit 140, Arvada, CO 80004-3536 | 2012-04-12 |
| 1205112596 | Catholic Health Initiatives Colorado | Family Medicine | 1315 Fortino Blvd, Pueblo, CO 81008-1981 | 2011-10-31 |
| 1316184120 | 10k Sports Medicine, PC | Family Medicine | Unit 101b, 12 Snowmass Rd, Crested Butte, CO 81224-8046 | 2009-01-15 |
| 1740467315 | Workpartners | Family Medicine | 1060 Orchard Ave Unit O, Grand Junction, CO 81501-2997 | 2008-01-26 |
| 1578686382 | Lisa Brone | Family Medicine | 149 S Briggs St, Ste 103b, Erie, CO 80516-4064 | 2007-04-08 |
| 1861547572 | Girish Anand Paranjape | Family Medicine | 2240 Buchtel Blvd, 3rd Floor Clinic - Ritchie Center, Denver, CO 80208-0001 | 2007-01-24 |
| 1144305038 | Herbert G Parris | Family Medicine | 2610 E 3rd Ave, Denver, CO 80206-4721 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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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.