BOULDER VALLEY FOOT & ANKLE CLINIC PC (NPI# 1891989760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891989760 |
| Entity Type | Organization |
| Organization Name | BOULDER VALLEY FOOT & ANKLE CLINIC PC |
| Practice Address |
3000 Center Green Dr Ste 230 Boulder CO 80301-2364 |
| Practice Telephone | 3034438900 |
| Practice Fax Number | 3034423140 |
| Mailing Telephone | 3034438900 |
| Mailing Fax Number | 3034423140 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2020-03-28 |
| Authorized Official Name | DONNA J COURTEMANCHE (MANAGER) |
| Authorized Official Telephone | 3034438900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
CO | Podiatric Medicine & Surgery Service Providers | |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
478 | CO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3000 CENTER GREEN DR STE 230 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-2364 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154890291 | Brian P Gradisek Dpm Pllc | Podiatrist | 1400 28th St Ste 2, Boulder, CO 80303-1096 | 2018-11-19 |
| 1336396308 | Kristine Marie Hoffman | Podiatrist | 3000 Center Green Dr, Suite 210, Boulder, CO 80301-2364 | 2008-08-21 |
| 1396913117 | Mark A Birmingham | Podiatrist | 2750 Broadway St, Boulder, CO 80304-3573 | 2008-02-14 |
| 1710168786 | Foot and Ankle Care of Boulder County, LLC | Podiatrist | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2007-11-19 |
| 1659417731 | Tara T Parks | Podiatrist | 2750 Broadway St, Boulder, CO 80304-3573 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449521 | Foot and Ankle Center of The Rockies LLC | Podiatrist | 1305 Sumner St Unit 200, Longmont, CO 80501-3270 | 2020-02-13 |
| 1740825397 | Valley View Hospital Association | Podiatrist | 1450 E Valley Rd Unit 202, Basalt, CO 81621-8352 | 2019-11-07 |
| 1275966004 | Kyle S Nay | Podiatrist | 1825 E Main St Ste A, Montrose, CO 81401-3848 | 2013-08-15 |
| 1467893131 | Blake Hines | Podiatrist | 12201 Pecos St Ste 400, Westminster, CO 80234-3994 | 2013-07-10 |
| 1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
| 1730528001 | Keleigh A Muxlow | Podiatrist | 3740 Dacoro Ln Ste 105, Castle Rock, CO 80109-2515 | 2013-06-20 |
| 1104262922 | Altitude Foot & Ankle Center | Podiatrist | 1138 Olympia Ave, Unit B, Longmont, CO 80504-2382 | 2013-05-20 |
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1912261074 | Morgan Johonn Kizzar | Podiatrist | 604 S 9th St, Canon City, CO 81212-4910 | 2012-07-03 |
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
| Find all providers with the same taxonomy | ||||
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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.