ANDREA ELAINE BOEDECKER (NPI# 1952537557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952537557 |
| Entity Type | Individual |
| Full Name | ANDREA ELAINE BOEDECKER |
| Credential | D.O. |
| Practice Address |
11230 Benton St Westminster CO 80020-3275 |
| Mailing Address |
2030 Mountain View Ave Suite 300 Longmont CO 80501-3178 |
| Practice Telephone | 7202828010 |
| Mailing Telephone | 7206528444 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | DR.0055767 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
11230 BENTON ST |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80020-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932710746 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 11230 Benton St, Westminster, CO 80020-3275 | 2020-08-14 |
| 1033727870 | Carepoint Emergency Medicine, Pllc | Physician Assistant | 11230 Benton St, Westminster, CO 80020-3275 | 2020-07-17 |
| 1639734072 | Hca-healthone LLC | Clinic/Center | 11230 Benton St, Westminster, CO 80020-3275 | 2019-05-01 |
| 1760610307 | Brian J Pottorf | Surgery | 11230 Benton St, Westminster, CO 80020-3275 | 2009-06-22 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341907 | Colorado Trauma Services PC | Surgery | 500 W 144th Ave Ste 130, Westminster, CO 80023-9326 | 2020-09-17 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1932115250 | John A Steers | Surgery | 295 Stoner Ave Ste 102, Westminster, MD 21157-5662 | 2006-07-31 |
| 1093757627 | Dyr Surgassist Inc | Surgery | 3715 W 95th Pl, Westminster, CO 80031-2603 | 2006-06-11 |
| 1124634829 | Colorado Surgical Service PC | Surgery | 500 W 144th Ave Ste 130, Westminster, CO 80023-9326 | 2020-09-17 |
| 1932710746 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 11230 Benton St, Westminster, CO 80020-3275 | 2020-08-14 |
| 1063021863 | Portercare Adventist Health System | Surgery | 7233 Church Ranch Blvd, Westminster, CO 80021-4094 | 2020-07-28 |
| 1083026918 | Catholic Health Initiatives Colorado | Surgery | 14300 Orchard Pkwy, Westminster, CO 80023-9206 | 2014-05-27 |
| 1275851768 | Jay Mittal | Surgery | 295 Stoner Ave Ste 102, Westminster, MD 21157-5662 | 2010-05-10 |
| 1306177662 | Yash Kumar Md Pa | Surgery | 826 Washington Rd, Suite 220, Westminster, MD 21157-5750 | 2010-01-26 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on ANDREA ELAINE BOEDECKER.
| 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.