INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC


Address: 3575 Broadway St, Boulder, CO 80304-1825
Phone: 3034490933

INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC (NPI# 1790145183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790145183
Entity Type Organization
Organization Name INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC
Other Organization Name BOULDER DERMATOLOGY
Practice Address 3575 Broadway St
Boulder
CO 80304-1825
Mailing Address 4700 Exchange Ct Ste 110
Boca Raton
FL 33431-4450
Practice Telephone 3034490933
Mailing Telephone 5613142000
Enumeration Date 2016-02-29
Last Update Date 2019-01-14
Authorized Official Name ADAM S PLOTKIN (SIGNOR)
Authorized Official Telephone 5613142000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Boulder Dermatology Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Integrated Dermatology of Boulder Creek, LLC 3575 Broadway, Boulder, CO 80304

Office Location

Street Address 3575 BROADWAY ST
City BOULDER
State CO
Zip Code 80304-1825

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184699159 John R Steinbaugh Dermatology 3575 Broadway St, Boulder, CO 80304-1825 2006-02-22
1417482282 Christine Kay Porter Physician Assistant 3575 Broadway St, Boulder, CO 80304-1825 2017-04-28
1366492100 Joanna Baskett Physician Assistant 3575 Broadway St, Boulder, CO 80304-1825 2006-05-11
1124083456 Steven D Resnick Dermatology 3575 Broadway St, Boulder, CO 80304-1825 2006-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720605256 Evol.v Chiropractic LLC Chiropractor 2401 Broadway #208, Boulder, CO 80304 2020-07-01
1760038723 Patrica Anne Zeyher Counselor 100 Alpine Ave., Boulder, CO 80304 2019-08-15
1356855928 Opal Counseling Center, LLC Counselor 1480 Lee Hill Dr. #7, Boulder, CO 80304 2017-11-19
1831608603 Lesley Ann Cloke Dietitian, Registered 1895 Bluff St., Unit C, Boulder, CO 80304 2017-09-25
1790209740 Megan Litwiller Occupational Therapist 810 Maxwell Ave, Boulder, CO 80304 2017-08-01
1285163774 Nadine Martin Registered Nurse 311 Mapleton Ave # 331, Boulder, CO 80304 2017-06-08
1598119281 Megan Cronin Larson Social Worker 825 S. Broadway Street, Boulder, CO 80304 2016-04-19
1760844237 Rafia Rebeck Counselor 1235 Elder Ave #7, Boulder, CO 80304 2016-03-24
1629441688 Jennifer S Delaney Counselor 2334 Broadway, Ste. B, Boulder, CO 80304 2015-11-12
1891162301 Kingston Dialysis LLC Clinic/Center 2880 Folsom St Ste 110, Boulder, CO 80304 2015-09-01
Find all providers in zip 80304

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902226434 Integrated Dermatology of Boulder, Pllc Dermatology 2935 Baseline Road, Suite 201, Boulder, CO 80303 2014-04-23
1215217096 Stacey Pilkington Dermatology 5365 Spine Rd Ste C, Boulder, CO 80301-3324 2011-08-24
1538458963 Laura Sturgess Huff Dermatology 2880 Folsom St Ste 200, Boulder, CO 80304 2011-04-06
1033378567 Max Russell Greenlee Jr. Dermatology 870 Juniper Ave, Boulder, CO 80304-1724 2008-06-09
1346396926 Brian Bailey Dermatology 1230 Chambers Dr, Boulder, CO 80305-6729 2007-01-26
1184699159 John R Steinbaugh Dermatology 3575 Broadway St, Boulder, CO 80304-1825 2006-02-22
1740641307 University Physicians, Incorporated Dermatology 2935 Baseline Rd, Boulder, CO 80303-2366 2016-03-10
1376938407 Lindsay Nicole Boyers Dermatology 2750 Broadway St, Boulder, CO 80304-3573 2015-04-06
1275953689 Kallgren Dermatology Dermatology 3434 47th Street, Suite 200, Boulder, CO 80301 2014-04-24
1306182787 Bailey Dermatology P.C. Dermatology 1230 Chambers Dr, Boulder, CO 80305-6729 2012-12-12
Find all providers in BOULDER

Competitor

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City BOULDER
Zip Code 80304

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Dataset Information

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.

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