SKIN PC (NPI# 1447629886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447629886 |
| Entity Type | Organization |
| Organization Name | SKIN PC |
| Practice Address |
905 Alpine Ave Boulder CO 80304-3305 |
| Mailing Address |
Po Box 7065 Loveland CO 80537-0065 |
| Practice Telephone | 3035697700 |
| Practice Fax Number | 3033530415 |
| Mailing Telephone | 9706632742 |
| Mailing Fax Number | 9703422093 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | KEVIN J MOTT (CEO) |
| Authorized Official Telephone | 3035697700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
DR.0053082 | CO | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801277801 | Skin PC | Dermatology | 1935 E Military Ave, Fremont, NE 68025-5489 | 2015-06-15 |
| 1134410764 | Skin PC | Dermatology | 1408 Veterans Dr, Suite 100, Elkhorn, NE 68022-6912 | 2011-04-30 |
| 1821118613 | Skin PC | Dermatology | 1830 Town Center Dr, Suite 410, Reston, VA 20190-3292 | 2007-03-29 |
| Street Address |
905 ALPINE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817483 | Catherine Wherry Pacocha | Physician Assistant | 905 Alpine Ave, Boulder, CO 80304-3305 | 2005-11-07 |
| 1144462839 | Alpine Medical Imaging LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
| 1831331511 | Alpine Rs LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
| 1386886067 | Alpine Cancer Care LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-27 |
| 1154563807 | Boulder Cancer Center, LLC | Radiology | 905 Alpine Ave, Boulder, CO 80304-3305 | 2009-03-26 |
| 1982878104 | Kristin M. Foreman | Dietitian, Registered | 905 Alpine Ave, Suite B, Boulder, CO 80304-3305 | 2008-04-17 |
| 1275722621 | Ck Leasing, LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2007-10-22 |
| 1952497646 | Brooke W Lewis | Physician Assistant | 905 Alpine Ave, Boulder, CO 80304-3305 | 2006-10-04 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1215217096 | Stacey Pilkington | Dermatology | 5365 Spine Rd Ste C, Boulder, CO 80301-3324 | 2011-08-24 |
| 1538458963 | Laura Sturgess Huff | Dermatology | 2880 Folsom St Ste 200, Boulder, CO 80304 | 2011-04-06 |
| 1033378567 | Max Russell Greenlee Jr. | Dermatology | 870 Juniper Ave, Boulder, CO 80304-1724 | 2008-06-09 |
| 1346396926 | Brian Bailey | Dermatology | 1230 Chambers Dr, Boulder, CO 80305-6729 | 2007-01-26 |
| 1184699159 | John R Steinbaugh | Dermatology | 3575 Broadway St, Boulder, CO 80304-1825 | 2006-02-22 |
| 1740641307 | University Physicians, Incorporated | Dermatology | 2935 Baseline Rd, Boulder, CO 80303-2366 | 2016-03-10 |
| 1790145183 | Integrated Dermatology of Boulder Creek, LLC | Dermatology | 3575 Broadway St, Boulder, CO 80304-1825 | 2016-02-29 |
| 1376938407 | Lindsay Nicole Boyers | Dermatology | 2750 Broadway St, Boulder, CO 80304-3573 | 2015-04-06 |
| 1275953689 | Kallgren Dermatology | Dermatology | 3434 47th Street, Suite 200, Boulder, CO 80301 | 2014-04-24 |
| 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.