MEMORY AND NEUROPALLIATIVE MD HOUSE CALLS (NPI# 1912531021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912531021 |
Entity Type | Organization |
Organization Name | MEMORY AND NEUROPALLIATIVE MD HOUSE CALLS |
Practice Address |
4450 Arapahoe Ave Ste 100 Boulder CO 80303-9102 |
Practice Telephone | 7204140744 |
Practice Fax Number | 4353553645 |
Mailing Telephone | 7204140744 |
Mailing Fax Number | 4353553645 |
Enumeration Date | 2020-02-27 |
Last Update Date | 2020-05-14 |
Authorized Official Name | JOCELYN ELIZABETH BEAR (OWNER) |
Authorized Official Telephone | 7204140744 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084H0002X |
Psychiatry & Neurology Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Memory and Neuropalliative MD House Calls LLC | 106 Noland Ct, Lyons, CO 80540 |
Street Address |
4450 ARAPAHOE AVE STE 100 |
City | BOULDER |
State | CO |
Zip Code | 80303-9102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205871969 | Mihai Bogdan Murarescu | Anesthesiology | 4450 Arapahoe Ave Ste 100, Boulder, CO 80303-9102 | 2006-06-18 |
1467865394 | Tanja Elana Johnson | Nurse Practitioner | 4450 Arapahoe Ave Ste 100, Boulder, CO 80303-9102 | 2014-06-09 |
1336496926 | Nikander and Company, Inc | Family Medicine | 4450 Arapahoe Ave Ste 100, Boulder, CO 80303 | 2012-08-14 |
1245422948 | Jocelyn Elizabeth Bear | Psychiatry & Neurology | 4450 Arapahoe Ave Ste 100, Boulder, CO 80303-9102 | 2007-08-16 |
1689890303 | Donna Marie Grandi-nikander | Nurse Practitioner | 4450 Arapahoe Ave Ste 100, Boulder, CO 80303 | 2007-04-18 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437388857 | Allison Rachel Gray | Psychiatry & Neurology | 5723 Arapahoe Ave Ste 1b, Boulder, CO 80303 | 2009-07-07 |
1346308905 | Associated Neurologists PC | Psychiatry & Neurology | 1000 Alpine Ave Ste 180, Boulder, CO 80304-3409 | 2006-12-05 |
1366541195 | Howard S Lubar | Psychiatry & Neurology | 785 Timber Lane, Boulder, CO 80304-0448 | 2006-09-21 |
1689640542 | Robert Ira Winer | Psychiatry & Neurology | 1510 Columbine Ave, Boulder, CO 80302 | 2006-02-28 |
1265404008 | Satish C Rao | Psychiatry & Neurology | 4801 Riverbend Rd Ste 200, Boulder, CO 80301-2613 | 2006-02-06 |
1629609516 | Nervous System LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2020-01-29 |
1215414883 | Cerebro, Inc. | Psychiatry & Neurology | 1510 Columbine Ave, Boulder, CO 80302-7943 | 2018-07-25 |
1255762191 | Nerve-us, LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2013-12-03 |
1700153574 | Alpine Clinical Research Center, Inc | Psychiatry & Neurology | 1000 Alpine Ave, Suite 200, Boulder, CO 80304-3406 | 2011-11-22 |
1750514261 | Kristi Gill | Psychiatry & Neurology | 2750 Broadway St, Boulder, CO 80304-3573 | 2009-08-31 |
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.