MR. CHARLES JOHN SCHOEPHOERSTER (NPI# 1629264080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629264080 |
| Entity Type | Individual |
| Full Name | MR. CHARLES JOHN SCHOEPHOERSTER |
| Credential | PA-C |
| Practice Address |
5190 W 120th Ave Broomfield CO 80020-3332 |
| Practice Telephone | 8559254733 |
| Mailing Telephone | 8559254733 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
665 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3455 Ringsby Ct Ste 102, Denver, CO 802164923 | 3035001518 | 7205980440 |
| Street Address |
5190 W 120TH AVE |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578843017 | Kimberly Gieck | Pharmacist | 5190 W 120th Ave, Broomfield, CO 80020-3332 | 2011-08-26 |
| 1558539650 | Take Care Health Colorado, Inc. | Nurse Practitioner | 5190 W 120th Ave, Broomfield, CO 80020-3332 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1538417134 | Catherine Elizabeth Peterson | Physician Assistant | 195 Kohl St, Broomfield, CO 80020-2127 | 2012-08-29 |
| 1144242579 | Darcy Lee Connelly | Physician Assistant | Broomfield Family Practice, 1420 W Midway Blvd, Broomfield, CO 80020 | 2006-07-24 |
| 1952765877 | Sarah Racine | Physician Assistant | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2016-04-06 |
| 1013105105 | Laura Elizabeth Bland | Physician Assistant | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2007-10-15 |
| 1871704536 | Kerri N. Cochenour | Physician Assistant | 3830 W 121st Pl, Broomfield, CO 80020-7921 | 2007-05-24 |
| 1932211174 | Marnie Ceazan | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-08-31 |
| 1538181961 | Richard D. Hazen | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-24 |
| 1770505117 | Amy Kinsey Sperry | Physician Assistant | Broomfield Family Practice, 1420 W. Midway Blvd., Broomfield, CO 80020 | 2006-07-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on MR. CHARLES JOHN SCHOEPHOERSTER.
| 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.