ENDOSCOPY CENTER OF THE ROCKIES LLC (NPI# 1558526293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558526293 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF THE ROCKIES LLC |
| Other Organization Name | ENDOSCOPY CENTER OF THE ROCKIES BOULDER |
| Practice Address |
1755 48th St Suite 100 Boulder CO 80301-2711 |
| Mailing Address |
382 S Arthur Ave Louisville CO 80027-3094 |
| Practice Telephone | 3036045000 |
| Practice Fax Number | 7208900364 |
| Mailing Telephone | 3036045000 |
| Mailing Fax Number | 7208900364 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | DR. DAUS MAHNKE (BOARD MEMBER) |
| Authorized Official Telephone | 3036045000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1064 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | BCBS | EN64670 | 01 |
| CO | 95055011 | 05 | |
| CO | RAILROAD MEDICARE | 490005424 | 01 |
| Other Name | Type Code |
|---|---|
| Endoscopy Center of the Rockies Boulder | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811148869 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1551 Professional Ln, Suite 290, Longmont, CO 80501-6972 | 2008-10-08 |
| 1700807617 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1000 W South Boulder Rd, Suite 202, Lafayette, CO 80026-2752 | 2006-07-23 |
| Street Address |
1755 48TH ST SUITE 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141017 | Zara Paulette Frankel | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-08-18 |
| 1467577932 | Vicki L Quarles | Social Worker | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2007-03-20 |
| 1851310478 | Matthew W Karowe | Internal Medicine | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2006-07-18 |
| 1114946639 | Peter S Kaye | Internal Medicine | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2006-07-18 |
| 1841279940 | Jason Andrew Cannell | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2006-01-17 |
| 1134103286 | Sue A Griffith | Physician Assistant | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-12-02 |
| 1417930314 | Cheryl A Grasmick | Physician Assistant | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-23 |
| 1871576991 | William V Burton | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-22 |
| 1295718633 | Dean J Beasley | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-21 |
| 1447233887 | Stephanie L Hess | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301 | 2005-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148360 | Boulder Community Musculoskeletal Surgery Center, LLC | Clinic/Center | 4740 Pearl Pkwy Ste 100, Boulder, CO 80301-3082 | 2005-07-20 |
| 1104189042 | Foothills Surgery Center, LLC | Clinic/Center | 4743 Arapahoe Ave, Ste 101, Boulder, CO 80303 | 2012-06-15 |
| 1962668319 | Boulder Medical Center, PC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2008-08-05 |
| 1275722621 | Ck Leasing, LLC | Clinic/Center | 905 Alpine Ave, Boulder, CO 80304-3305 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819873 | Lone Tree Surgery Center, LLC | Clinic/Center | 9218 Kimmer Dr Ste 101, Lone Tree, CO 80124-6733 | 2020-10-22 |
| 1770180986 | Audubon Ambulatory Surgery Center LLC | Clinic/Center | 6011 E Woodmen Rd Ste 200, Colorado Springs, CO 80923-2604 | 2020-10-01 |
| 1376155440 | Colorado Urologic Surgery Center, LLC | Clinic/Center | 3 Superior Dr Ste 301, Superior, CO 80027-8655 | 2020-08-20 |
| 1548870603 | Durango Surgery Center LLC | Clinic/Center | 1266 Escalante, Suite 101, Durango, CO 81303 | 2020-08-04 |
| 1366064032 | Care Dental Surgical Center of Denver LLC | Clinic/Center | 1111 S Abilene Ct, Aurora, CO 80012-4909 | 2020-05-15 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1821642661 | Steamboat Surgery Center, LLC | Clinic/Center | 705 Marketplace Plz Ste 150, Steamboat Springs, CO 80487-1800 | 2019-07-30 |
| 1679134795 | Greeley Endoscopy Center, LLC | Clinic/Center | 8227 W 20th St, Greeley, CO 80634-3039 | 2019-06-28 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1659842128 | Milestone Surgical Center LLC | Clinic/Center | 9800 Pyramid Ct Ste 300, Englewood, CO 80112-2667 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ENDOSCOPY CENTER OF THE ROCKIES LLC.
| 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.