DR. JASON ANDREW CANNELL (NPI# 1841279940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841279940 |
| Entity Type | Individual |
| Full Name | DR. JASON ANDREW CANNELL |
| Credential | DO |
| Practice Address |
1755 48th St Suite 200 Boulder CO 80301-2711 |
| Mailing Address |
5450 Western Ave Boulder CO 80301-2709 |
| Practice Telephone | 3034157450 |
| Practice Fax Number | 3034945265 |
| Mailing Telephone | 3034157450 |
| Mailing Fax Number | 3034945265 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2017-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0050333 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | DOS-1087 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 34807365 | 05 |
| Street Address |
1755 48TH ST SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141017 | Zara Paulette Frankel | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-08-18 |
| 1558526293 | Endoscopy Center of The Rockies LLC | Clinic/Center | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2008-07-22 |
| 1467577932 | Vicki L Quarles | Social Worker | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2007-03-20 |
| 1851310478 | Matthew W Karowe | Internal Medicine | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2006-07-18 |
| 1114946639 | Peter S Kaye | Internal Medicine | 1755 48th St, Suite 100, Boulder, CO 80301-2711 | 2006-07-18 |
| 1134103286 | Sue A Griffith | Physician Assistant | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-12-02 |
| 1417930314 | Cheryl A Grasmick | Physician Assistant | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-23 |
| 1871576991 | William V Burton | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-22 |
| 1295718633 | Dean J Beasley | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301-2711 | 2005-11-21 |
| 1447233887 | Stephanie L Hess | Family Medicine | 1755 48th St, Suite 200, Boulder, CO 80301 | 2005-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1548634165 | Paladina Health, LLC | Family Medicine | 2880 Folsom St Ste 104, Boulder, CO 80304-3769 | 2015-11-19 |
| 1922407170 | Carolyn Tabak | Family Medicine | 844 Iris Ave, Boulder, CO 80304-1758 | 2014-08-13 |
| 1841602976 | Charles Leo Steinberg | Family Medicine | 3014 Jefferson St, Boulder, CO 80304-2638 | 2014-05-23 |
| 1801224027 | Jeffrey I Birn | Family Medicine | 649 Quince Cir, Boulder, CO 80304-1030 | 2013-10-25 |
| 1669811683 | Joshua Avram Garfein | Family Medicine | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2013-06-24 |
| 1477882884 | Barry Benjamin Bialek | Family Medicine | 1010 Poplar Ave, Boulder, CO 80304-0747 | 2009-12-14 |
| 1669705042 | Boulder Peak Family Practice, Inc. | Family Medicine | 5330 Manhattan Cir # C-2, Boulder, CO 80303-4240 | 2009-09-16 |
| 1396990719 | William Jia Gottlieb | Family Medicine | 331 Maxwell Ave, Boulder, CO 80304-3972 | 2008-11-26 |
| 1922264175 | Jason Wells Glowney | Family Medicine | 4745 Arapahoe Ave Ste 300, Boulder, CO 80303-1292 | 2008-08-06 |
| 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.