MAKO SHIMODA (NPI# 1851352330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851352330 |
| Entity Type | Individual |
| Full Name | MAKO SHIMODA |
| Credential | MD |
| Practice Address |
4745 Arapahoe Avenue Suite 320 Boulder CO 80303 |
| Practice Telephone | 3034410587 |
| Practice Fax Number | 3039960801 |
| Mailing Telephone | 3034410587 |
| Mailing Fax Number | 3039960801 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2010-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 36257 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 55404251 | 05 |
| Street Address |
4745 ARAPAHOE AVENUE SUITE 320 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053437319 | Angela Marie Stevens | Obstetrics & Gynecology | 4745 Arapahoe Avenue, Suite 320, Boulder, CO 80303 | 2007-03-21 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482880 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 2525 Arapahoe Ave # 200, Boulder, CO 80302-6720 | 2019-11-20 |
| 1871925362 | Marilyn Natalie Carol | Obstetrics & Gynecology | 4985 Moorhead Ave # 3657, High Mar Post Office, Boulder, CO 80305-5522 | 2013-08-06 |
| 1942599279 | Joseph L Printz | Obstetrics & Gynecology | 2455 Cragmoor Rd, Boulder, CO 80305-6809 | 2011-04-07 |
| 1043484082 | Boulder Gynecology & Minimally Invasive Surgery PC | Obstetrics & Gynecology | 4800 Riverbend Rd Ste 200, Boulder, CO 80301-2608 | 2008-04-22 |
| 1588859110 | Catherine C Fries | Obstetrics & Gynecology | 4745 Arapahoe, Suite 320, Boulder, CO 80303 | 2007-09-06 |
| 1316000169 | Boulder Management Services Organization | Obstetrics & Gynecology | 1155 Alpine, Suite 230, Boulder, CO 80304 | 2006-12-19 |
| 1295894178 | Boulder Womens Care PC | Obstetrics & Gynecology | 311 Mapleton Ave # 100, Boulder, CO 80304-3979 | 2006-12-07 |
| 1558344010 | Terri F Rosenbaum | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2005-11-29 |
| 1215925342 | Joseph Cohen | Obstetrics & Gynecology | 5377 Manhattan Cir Ste 204, Boulder, CO 80303-4345 | 2005-10-12 |
| 1518348580 | Portercare Adventist Health System | Obstetrics & Gynecology | 805 S Broadway St, Suite 103, Boulder, CO 80305-5971 | 2015-06-15 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on MAKO SHIMODA.
| 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.