ALAN THOMAS VILLAVICENCIO (NPI# 1720033939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720033939 |
| Entity Type | Individual |
| Full Name | ALAN THOMAS VILLAVICENCIO |
| Credential | MD |
| Practice Address |
4743 Arapahoe Ave Suite 202 Boulder CO 80303-1113 |
| Practice Telephone | 3039385700 |
| Practice Fax Number | 3039980007 |
| Mailing Telephone | 3039385700 |
| Mailing Fax Number | 3039980007 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2013-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | DR40687 | CO | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 40687 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4743 ARAPAHOE AVE SUITE 202 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408021 | Anna T Roe | Physician Assistant | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2005-06-23 |
| 1629609516 | Nervous System LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2020-01-29 |
| 1851938815 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-12-09 |
| 1972159788 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-08-16 |
| 1255762191 | Nerve-us, LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2013-12-03 |
| 1396189650 | Dean P Springstead | Nurse Practitioner | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2013-04-17 |
| 1164779955 | Timothy A Oringer | Physician Assistant | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2012-08-10 |
| 1104189042 | Foothills Surgery Center, LLC | Clinic/Center | 4743 Arapahoe Ave, Ste 101, Boulder, CO 80303 | 2012-06-15 |
| 1073898664 | Sara Kadlec | Physician Assistant | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2011-10-15 |
| 1417243254 | Kyle Jordan Marthaller | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2011-06-21 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780806745 | Clara Raquel Epstein | Neurological Surgery | 1245 Pearl St, Suite #212, Boulder, CO 80302-5268 | 2007-05-02 |
| 1275758039 | Alexander Michael Mason | Neurological Surgery | 4743 Arapahoe Ve, Ste 202, Boulder, CO 80303 | 2007-04-16 |
| 1578906392 | Kwong-hon Chow | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2013-04-10 |
| 1942510169 | Epstein Neurosurgery Center, LLC | Neurological Surgery | 1245 Pearl St, Suite #210, Boulder, CO 80302-5268 | 2010-10-21 |
| 1255588190 | Kara Dawn Beasley | Neurological Surgery | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2008-08-21 |
| 1376769471 | David Allan Shafer | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2007-04-17 |
| 1881634194 | Ewell Lee Nelson | Neurological Surgery | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2006-06-07 |
| 1740229236 | Jeffrey J Thramann | Neurological Surgery | 1155 Alpine Ave, Suite 320, Boulder, CO 80304-3495 | 2006-06-06 |
| 1093752834 | Boulder Neurosurgical Associates | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2006-06-01 |
| 1699730986 | Sharad Rajpal | Neurological Surgery | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2006-04-19 |
| Find all providers in BOULDER | ||||
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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.