DR. GORDON T MATSUDA (NPI# 1679551204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679551204 |
| Entity Type | Individual |
| Full Name | DR. GORDON T MATSUDA |
| Credential | MD |
| Practice Address |
3434 47th St Suite 101 Boulder CO 80301-1880 |
| Practice Telephone | 3034440840 |
| Practice Fax Number | 3034440838 |
| Mailing Telephone | 3034440840 |
| Mailing Fax Number | 3034440838 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2009-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 20793 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 29504074 | 05 |
| Street Address |
3434 47TH ST SUITE 101 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214016 | Diane Lucy Kallgren | Specialist | 3434 47th St, #200, Boulder, CO 80301-1880 | 2005-09-07 |
| 1235678921 | Sarah Rose | Counselor | 3434 47th St, Suite 130, Boulder, CO 80301-1880 | 2017-02-15 |
| 1134524275 | Healingquest LLP | Community/Behavioral Health | 3434 47th St, Suite 130, Boulder, CO 80301-1880 | 2014-10-31 |
| 1053658930 | Andrew Newkirk Rose | Counselor | 3434 47th St, Suite 101, Boulder, CO 80301-1880 | 2013-01-11 |
| 1609129261 | Kristin Dianne Kirkbride | Social Worker | 3434 47th St, Suite 110, Boulder, CO 80301-1880 | 2012-10-19 |
| 1679710305 | Lisa Kelly | Physical Therapist | 3434 47th St, Suite 107, Boulder, CO 80301-1880 | 2009-01-16 |
| 1457507808 | Nancy Bower Hillmer | Occupational Therapist | 3434 47th St, Suite 105, Boulder, CO 80301-1880 | 2008-08-15 |
| 1508041609 | Elizabeth Christine Turner | Chiropractor | 3434 47th St, Suite 120, Boulder, CO 80301-1880 | 2008-01-08 |
| 1700072592 | Urn Control, LLC | Urology | 3434 47th St, Suite 101, Boulder, CO 80301-1880 | 2007-09-14 |
| 1790978393 | Kallgren Dermatology Clinic, P.C. | Dermatology | 3434 47th St, #200, Boulder, CO 80301-1880 | 2007-08-27 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1326335399 | Carolyn M Fronczak | Urology | 2750 Broadway St, Boulder, CO 80304-3573 | 2011-06-28 |
| 1174799837 | John Christopher Kefer | Urology | 4743 Arapahoe Ave, Suite 104, Boulder, CO 80303-1113 | 2008-05-02 |
| 1700072592 | Urn Control, LLC | Urology | 3434 47th St, Suite 101, Boulder, CO 80301-1880 | 2007-09-14 |
| 1881608768 | John Christopher Webster | Urology | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2006-07-28 |
| 1902860091 | Stephen B Siegel | Urology | 2750 Broadway St, Boulder, CO 80304-3573 | 2006-04-14 |
| 1205836889 | Larry Croft Munch | Urology | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-07-26 |
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| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| 1548787088 | Advanced Urological Care | Urology | 2222 N Nevada Ave Ste 5005, Colorado Springs, CO 80907-6865 | 2017-08-25 |
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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.