BOULDER EMERGENCY PHYSICIANS PC (NPI# 1720686371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720686371 |
| Entity Type | Organization |
| Organization Name | BOULDER EMERGENCY PHYSICIANS PC |
| Practice Address |
4747 Arapahoe Ave Boulder CO 80303-1131 |
| Mailing Address |
Po Box 173894 Denver CO 80217-3894 |
| Practice Telephone | 3035147000 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DR. TIMOTHY MEYERS (PRESIDENT) |
| Authorized Official Telephone | 3037095622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boulder Foothills - APP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454317 | Boulder Emergency Physicians PC | Emergency Medicine | 1000 W South Boulder Rd, Lafayette, CO 80026-2752 | 2020-10-13 |
| 1083212989 | Boulder Emergency Physicians PC | Emergency Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-13 |
| 1659354637 | Boulder Emergency Physicians PC | Emergency Medicine | 1100 Balsam Ave, Boulder, CO 80304-3404 | 2005-11-23 |
| 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 |
| 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 |
| 1306233705 | Adam Noah Levine | Internal Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2015-04-23 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972748309 | Harry P Ross | Emergency Medicine | 1110 Linden Ave, Boulder, CO 80304-0729 | 2008-12-15 |
| 1194973305 | David W Silver | Emergency Medicine | 3040 5th St, Boulder, CO 80304-2574 | 2008-08-29 |
| 1760546808 | Darvin Smith | Emergency Medicine | 3228 9th St, Boulder, CO 80304-2113 | 2006-12-21 |
| 1710055140 | David Elliott Bright | Emergency Medicine | 2607 Thornbird Pl, Boulder, CO 80304-2496 | 2006-12-01 |
| 1124193453 | Damon J Negri | Emergency Medicine | 4747 Arapahoe Avenue, Boulder, CO 80303-1133 | 2006-11-21 |
| 1699724591 | Bruce Martin Beckord | Emergency Medicine | 7028 Indian Peaks Trail, Boulder, CO 80301 | 2006-05-08 |
| 1053385351 | David P Wiebe | Emergency Medicine | 3922 Promontory Ct, Boulder, CO 80304-1054 | 2006-02-14 |
| 1639142417 | David H. Kruger | Emergency Medicine | 1100 Balsam Ave., Boulder, CO 80304-3404 | 2006-02-10 |
| 1083212989 | Boulder Emergency Physicians PC | Emergency Medicine | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2020-10-13 |
| 1588143069 | Sarah Chetham | Emergency Medicine | 4743 Arapahoe Ave Ste 201, Boulder, CO 80303-1128 | 2018-08-07 |
| 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.