FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC (NPI# 1710168786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710168786 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC |
| Practice Address |
1400 28th St Suite 2 Boulder CO 80303-1096 |
| Practice Telephone | 3034492000 |
| Practice Fax Number | 3034499475 |
| Mailing Telephone | 3034492000 |
| Mailing Fax Number | 3034499475 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2011-10-17 |
| Authorized Official Name | DR. THOMAS E SHONKA (MANAGING PARTNER) |
| Authorized Official Telephone | 3034492000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 98726251 | 05 |
| Street Address |
1400 28TH ST SUITE 2 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223593 | Ted C Kawulok | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2005-08-23 |
| 1285169623 | Ted C. Kawulok, D.d.s. | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2017-04-24 |
| 1669850608 | Ted C. Kawulok D.d.s., P.C. | Dentist | 1400 28th St, Suite 4, Boulder, CO 80303-1096 | 2015-05-11 |
| 1841432846 | Foot & Ankle Care of Boulder, PC | Clinic/Center | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2009-04-06 |
| 1215107867 | Joe Matthew Swartz | Family Medicine | 1400 28th St, Suite 1, Boulder, CO 80303 | 2008-03-10 |
| 1952514309 | Lori A. Irby | Specialist/Technologist, Other | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2007-05-08 |
| 1497818256 | Ania Maria Mohelicki | Dentist | 1400 28th St, Ste 4, Boulder, CO 80303-1096 | 2006-12-19 |
| 1013929660 | Thomas E Shonka | Podiatrist | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2006-08-12 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154890291 | Brian P Gradisek Dpm Pllc | Podiatrist | 1400 28th St Ste 2, Boulder, CO 80303-1096 | 2018-11-19 |
| 1336396308 | Kristine Marie Hoffman | Podiatrist | 3000 Center Green Dr, Suite 210, Boulder, CO 80301-2364 | 2008-08-21 |
| 1396913117 | Mark A Birmingham | Podiatrist | 2750 Broadway St, Boulder, CO 80304-3573 | 2008-02-14 |
| 1659417731 | Tara T Parks | Podiatrist | 2750 Broadway St, Boulder, CO 80304-3573 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449521 | Foot and Ankle Center of The Rockies LLC | Podiatrist | 1305 Sumner St Unit 200, Longmont, CO 80501-3270 | 2020-02-13 |
| 1740825397 | Valley View Hospital Association | Podiatrist | 1450 E Valley Rd Unit 202, Basalt, CO 81621-8352 | 2019-11-07 |
| 1275966004 | Kyle S Nay | Podiatrist | 1825 E Main St Ste A, Montrose, CO 81401-3848 | 2013-08-15 |
| 1467893131 | Blake Hines | Podiatrist | 12201 Pecos St Ste 400, Westminster, CO 80234-3994 | 2013-07-10 |
| 1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
| 1730528001 | Keleigh A Muxlow | Podiatrist | 3740 Dacoro Ln Ste 105, Castle Rock, CO 80109-2515 | 2013-06-20 |
| 1104262922 | Altitude Foot & Ankle Center | Podiatrist | 1138 Olympia Ave, Unit B, Longmont, CO 80504-2382 | 2013-05-20 |
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1912261074 | Morgan Johonn Kizzar | Podiatrist | 604 S 9th St, Canon City, CO 81212-4910 | 2012-07-03 |
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
| 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.