DR. MARK HARRISON (NPI# 1508236910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508236910 |
| Entity Type | Individual |
| Full Name | DR. MARK HARRISON |
| Credential | MD |
| Practice Address |
546 14th St Boulder CO 80302-7806 |
| Practice Telephone | 3039388844 |
| Mailing Telephone | 3039388844 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0025415 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692844 | Mark Harrison | Hearing Instrument Specialist | 6500 Preston Rd Ste 201, Frisco, TX 75034-5857 | 2012-05-31 |
| 1144371980 | Mark Holmes Harrison | Pharmacist | 295 Hammock Road, Milledgeville, GA 31061 | 2007-01-16 |
| 1407865215 | Mark Robert Harrison | Dentist | 40 Portsmouth Ave, Exeter, NH 03833-2106 | 2006-08-08 |
| 1134135098 | Mark Jan Harrison | Obstetrics & Gynecology | 13536 Travilah Rd, North Potomac, MD 20878-3847 | 2006-07-31 |
| 1417954124 | Mark L Harrison | Radiology | 620 S Broadway St, Mcallen, TX 78501-4906 | 2005-07-07 |
| 1881026755 | Mark Harrison | Counselor | 425 5th Ave Nw, Attalla, AL 35954-2214 | 2013-08-02 |
| 1215183876 | Mark Eric Harrison | Physical Therapist | 2620 S Williams Pl, Ste 110, Kennewick, WA 99338-1867 | 2008-08-14 |
| 1730384710 | Mark D Harrison | Hearing Instrument Specialist | 18 N Hanson St, Suite 3, Easton, MD 21601-3134 | 2007-06-19 |
| 1881718278 | Mark Francis Harrison | Occupational Therapist | 30 Chase Ave, Waterville, ME 04901-4624 | 2007-03-19 |
| 1285799585 | Mark Allan Harrison | Internal Medicine | 1 Columbia St, Suite 200, Poughkeepsie, NY 12601 | 2006-12-27 |
| Street Address |
546 14TH ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073773461 | Alan Koffler | Internal Medicine | 2976 Middle Fork Rd, Boulder, CO 80302-9316 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851738 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd # 100, Pueblo, CO 81008-2148 | 2020-11-04 |
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1689274953 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd, Pueblo, CO 81008-2148 | 2020-10-27 |
| 1417562943 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 11700 W 2nd Pl Ste 345, Lakewood, CO 80228-1710 | 2020-09-11 |
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1336754860 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 1960 Ken Pratt Blvd Ste B, Longmont, CO 80501-6092 | 2020-09-11 |
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1184261422 | Consultants In Nephrology and Hypertension Professional LLC | Internal Medicine | 2352 Meadows Blvd Ste 250, Castle Rock, CO 80109-8417 | 2019-12-05 |
| 1841728789 | Denver Nephrologists, PC | Internal Medicine | 130 Rampart Way Ste 300a, Denver, CO 80230-6454 | 2017-05-23 |
| 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.