ALEXANDRA L DIMATTEO (NPI# 1467795914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467795914 |
| Entity Type | Individual |
| Full Name | ALEXANDRA L DIMATTEO |
| Credential | M.D |
| Practice Address |
2750 Broadway St Boulder CO 80304 |
| Mailing Address |
2750 Broadway St Boulder CO 80304-3573 |
| Practice Telephone | 9194758689 |
| Mailing Telephone | 3039384700 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2018-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DR.0058346 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FD6783410 | 01 | |
| CO | MEDICAL LICENSE | DR.0058346 | 01 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1013551852 | Reform Health & Rehab, LLC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-11-05 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
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| 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 |
| 1295894178 | Boulder Womens Care PC | Obstetrics & Gynecology | 311 Mapleton Ave # 100, Boulder, CO 80304-3979 | 2006-12-07 |
| 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 |
| 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.