DR. TERESA REBIBO FOX


Address: 4840 Riverbend Rd, 100, Boulder, CO 80301-2659
Phone: 3036014222

DR. TERESA REBIBO FOX (NPI# 1871735381) 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) 1871735381
Entity Type Individual
Full Name DR. TERESA REBIBO FOX
Other Name TERESA LYNN REBIBO
Credential MD
Practice Address 4840 Riverbend Rd
100
Boulder
CO 80301-2659
Practice Telephone 3036014222
Mailing Telephone 3036014222
Enumeration Date 2009-03-30
Last Update Date 2015-01-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 41031 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 65158253 05

Office Location

Street Address 4840 RIVERBEND RD
100
City BOULDER
State CO
Zip Code 80301-2659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689849440 Susan A Takemoto Dentist 4840 Riverbend Rd, Suite 200, Boulder, CO 80301-2608 2008-04-23
1306299946 Naomi Sever, Dds, Pllc Dentist 4840 Riverbend Rd, #200, Boulder, CO 80301-2659 2016-07-19

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871068528 Rocky Mountain Regenerative Medicine, Pllc General Practice 2260 Baseline Rd Ste 102, Boulder, CO 80302-7740 2018-10-09
1841548674 Edward Cosgriff General Practice 5920 Longbow Dr, Boulder, CO 80301-3202 2012-08-28
1164790994 Mary Dan Eades General Practice 6525 Gunpark Dr # 150-504, Boulder, CO 80301-3346 2011-12-07
1376872259 Richard Steinberg General Practice 2939 10th St, Boulder, CO 80304-3019 2009-12-23
1669023495 Jordan Urban General Practice 703 Walnut St, Boulder, CO 80302-5032 2019-09-23
1326396599 Michael Robert Eades General Practice 6525 Gunpark Dr # 150-504, Boulder, CO 80301-3346 2012-08-20
1932340494 Larry Eckstein, M.d., P.C. General Practice 2760 29th St, Suite 2-d, Boulder, CO 80301-1214 2009-03-13
1649497066 Diana L Wetzbarger General Practice 580 Mohawk Dr, Boulder, CO 80303-3712 2007-04-19
1902962939 Gary Bruce Clark General Practice 1790 30th St, Suite 230, Boulder, CO 80301-1022 2006-12-27
1821000704 Larry Eckstein General Practice 2760 29th St, Suite 2-d, Boulder, CO 80301-1214 2006-08-12
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Competitor

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City BOULDER
Zip Code 80301

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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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