JASON H SMOUSE (NPI# 1578597225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578597225 |
| Entity Type | Individual |
| Full Name | JASON H SMOUSE |
| Credential | M.D. |
| Practice Address |
4747 Arapahoe Ave Boulder CO 80303-1131 |
| Mailing Address |
36 Garden Ctr Broomfield CO 80020-1730 |
| Practice Telephone | 3034157000 |
| Mailing Telephone | 3034650401 |
| Mailing Fax Number | 3034381351 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
45525 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE RAILROAD | P00432605 | 01 |
| CO | 03237044 | 05 |
| Street Address |
4747 ARAPAHOE AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074196 | Boulder Community Health | General Acute Care Hospital | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2005-12-19 |
| 1720686371 | Boulder Emergency Physicians PC | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-15 |
| 1083212989 | Boulder Emergency Physicians PC | Emergency Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-13 |
| 1083239941 | Marguerite Rice Shifrin | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-06-16 |
| 1962031666 | Ian Mathew Morlock | Registered Nurse | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-04-04 |
| 1356980205 | Sean Wallis | Hospitalist | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-12-24 |
| 1144877523 | Boulder Community Health | Clinic/Center | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-08-21 |
| 1689147555 | Angela C Sloan | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-01-03 |
| 1144707506 | Kimberly Ann North | Nurse Practitioner | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2018-07-27 |
| 1881081107 | Joseph Patrick Raycroft | Internal Medicine | 4747 Arapahoe Ave, Boulder, CO 80303 | 2015-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376809442 | Parker Wayne Clement | Pathology | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2012-04-03 |
| 1205897220 | Boulder Valley Pathology P C | Pathology | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2006-03-29 |
| 1003877390 | Kevin W Hanley | Pathology | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2006-03-28 |
| 1326008871 | Brooke Alt | Pathology | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2006-03-27 |
| 1134189319 | William W Howland | Pathology | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2006-03-23 |
| 1669432860 | Robert C Forsythe | Pathology | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282053 | Cardinal Pathology, PC | Pathology | 100 Pioneers Medical Center Drive, Pioneers Medical Center, Meeker, CO 81641 | 2020-10-09 |
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1063853950 | William Clayton Dickey | Pathology | 12588 N Pine Cone Rd, Parker, CO 80138-8281 | 2013-07-09 |
| 1053665513 | Dean Frederick Kehmeier | Pathology | 19231 E Hinsdale Ln, Centennial, CO 80016-2147 | 2012-11-06 |
| 1609121722 | Jay Nichols Joy | Pathology | 555 Rivergate Ste B4-81, Durango, CO 81301-7485 | 2012-07-14 |
| 1861710030 | Julie Ann Rosser | Pathology | 12631 E 17th Ave # 80045, Academic Office 1, Room L15-2215, Mail Stop B-216, Aurora, CO 80045-2527 | 2010-05-12 |
| 1710117155 | Stephen Andre Goscin | Pathology | 9225 Chetwood Dr, Colorado Springs, CO 80920-5127 | 2009-07-20 |
| 1770726101 | Roger Paul Ilvonen | Pathology | 2337 S Youngfield Way, Lakewood, CO 80228-4970 | 2009-04-15 |
| 1811196819 | Martin K. Potash | Pathology | 695 S Broadway Ste 100, Denver, CO 80209-4003 | 2007-07-11 |
| 1871797076 | L. James Kennedy Jr. | Pathology | 304 Pinon Rd E, Ridgway, CO 81432-8934 | 2007-06-12 |
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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.