MIA GAW


Address: 4745 Arapahoe Ave Ste 130, Boulder, CO 80303
Phone: 3034422771

MIA GAW (NPI# 1831649144) 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) 1831649144
Entity Type Individual
Full Name MIA GAW
Credential PA-C
Practice Address 4745 Arapahoe Ave Ste 130
Boulder
CO 80303
Mailing Address 1400 Jackson St
Denver
CO 80206-2761
Practice Telephone 3034422771
Practice Fax Number 3034432784
Mailing Telephone 3033884461
Mailing Fax Number 3032702174
Enumeration Date 2016-10-11
Last Update Date 2018-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA.0004767 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 19913648 05

Office Location

Street Address 4745 ARAPAHOE AVE STE 130
City BOULDER
State CO
Zip Code 80303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346315868 Myra B Baker Physician Assistant 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2006-11-21
1326668609 Boulder Valley Hearing Associates Inc Hearing Instrument Specialist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2020-04-16
1285254532 Jill Elizabeth True Hearing Instrument Specialist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2020-04-16
1306328877 Michael Hugus Physician Assistant 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2018-08-31
1952883704 Tiana Lujan Audiologist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2018-08-29
1598242562 Natalie Jean Nelson Audiologist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2018-07-23
1528588209 Jillian S Barney Audiologist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303 2017-06-22
1457757379 Regina Marsha Gould Audiologist-Hearing Aid Fitter 4745 Arapahoe Ave Ste 130, Boulder, CO 80303 2014-11-05
1235553199 Samantha Elaine Warren Audiologist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303 2014-02-13
1861513418 Deborah A Hayes Speech-Language Pathologist 4745 Arapahoe Ave Ste 130, Boulder, CO 80303-1082 2007-04-02
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750980298 Rachel Wolfe Physician Assistant 38 Qualla Ct, Boulder, CO 80303-3900 2020-10-24
1568005510 Haley Reiter Physician Assistant 5387 Manhattan Cir Ste 201, Boulder, CO 80303-4283 2019-10-22
1326515487 Kathryn Desellem Devlin Physician Assistant 4222 Monroe Dr Apt D, Boulder, CO 80303-2189 2018-10-26
1396244836 Trisha Quon Physician Assistant 4743 Arapahoe Ave Ste 102, Boulder, CO 80303-1123 2018-02-11
1992152482 Hillary Smyth Physician Assistant 75 Manhattan Dr Ste 208, Boulder, CO 80303-4252 2016-05-16
1093180341 Melissa Ortega Physician Assistant 565 Manhattan Dr, 102, Boulder, CO 80303-4051 2015-12-10
1265853790 David James Mackey Physician Assistant 565 Hartford Dr, Boulder, CO 80305-5714 2013-12-31
1023381993 Ara Rustad Haupt Physician Assistant 75 Manhattan Dr Mindful Pediatrics, Suite #4, Boulder, CO 80303 2012-02-22
1336339894 Amanda Lauren Lapointe Physician Assistant 3434 47th St Ste 200, Boulder, CO 80301-1817 2007-07-30
1487855763 Monica R Giamellaro Physician Assistant 1155 Alpine Ave Ste 280, Boulder, CO 80304-3493 2007-05-31
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Competitor

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City BOULDER
Zip Code 80303

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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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