MS. MARNIE CEAZAN (NPI# 1932211174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932211174 |
| Entity Type | Individual |
| Full Name | MS. MARNIE CEAZAN |
| Credential | P.A. |
| Practice Address |
1420 W Midway Blvd Broomfield CO 80020-2090 |
| Mailing Address |
1430 Judson Dr Boulder CO 80305-6933 |
| Practice Telephone | 3034661886 |
| Practice Fax Number | 3034664081 |
| Mailing Telephone | 3034998182 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
00733 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1420 W MIDWAY BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466027 | William Roger Markel | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2005-06-10 |
| 1720508476 | Caitlin Bradshaw | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2017-06-23 |
| 1801346408 | Collin Wooldridge | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2016-10-06 |
| 1952797953 | Julia Lee Wofford Rhoden | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2015-04-07 |
| 1801095138 | Shannon Nicole Hill | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2007-07-17 |
| 1376625574 | Excel Physical Therapy, PC | Physical Therapist | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-10-19 |
| 1972519387 | Julia A Essig | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-31 |
| 1770507360 | Northern Medical Associates | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-27 |
| 1194748046 | James R Hill | Family Medicine | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-25 |
| 1538181961 | Richard D. Hazen | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1538417134 | Catherine Elizabeth Peterson | Physician Assistant | 195 Kohl St, Broomfield, CO 80020-2127 | 2012-08-29 |
| 1144242579 | Darcy Lee Connelly | Physician Assistant | Broomfield Family Practice, 1420 W Midway Blvd, Broomfield, CO 80020 | 2006-07-24 |
| 1952765877 | Sarah Racine | Physician Assistant | 1022 Depot Hill Rd, Broomfield, CO 80020-1068 | 2016-04-06 |
| 1013105105 | Laura Elizabeth Bland | Physician Assistant | 433 Summit Blvd Unit 201, Broomfield, CO 80021-8299 | 2007-10-15 |
| 1629264080 | Charles John Schoephoerster | Physician Assistant | 5190 W 120th Ave, Broomfield, CO 80020-3332 | 2007-09-19 |
| 1871704536 | Kerri N. Cochenour | Physician Assistant | 3830 W 121st Pl, Broomfield, CO 80020-7921 | 2007-05-24 |
| 1538181961 | Richard D. Hazen | Physician Assistant | 1420 W Midway Blvd, Broomfield, CO 80020-2090 | 2006-07-24 |
| 1770505117 | Amy Kinsey Sperry | Physician Assistant | Broomfield Family Practice, 1420 W. Midway Blvd., Broomfield, CO 80020 | 2006-07-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on MS. MARNIE CEAZAN.
| 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.