MS. ANNA T ROE (NPI# 1962408021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962408021 |
| Entity Type | Individual |
| Full Name | MS. ANNA T ROE |
| Credential | PA-C |
| Practice Address |
4743 Arapahoe Ave Suite 201 Boulder CO 80303-1113 |
| Mailing Address |
5450 Western Ave Suite B Boulder CO 80301-2709 |
| Practice Telephone | 3034422395 |
| Practice Fax Number | 3034421073 |
| Mailing Telephone | 3034422395 |
| Mailing Fax Number | 3034421073 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2017-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
878 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07008782 | 05 |
| Street Address |
4743 ARAPAHOE AVE SUITE 201 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609516 | Nervous System LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2020-01-29 |
| 1851938815 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-12-09 |
| 1972159788 | Boulder Community Health | Clinic/Center | 4743 Arapahoe Ave, Boulder, CO 80303-1113 | 2019-08-16 |
| 1255762191 | Nerve-us, LLC | Psychiatry & Neurology | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2013-12-03 |
| 1396189650 | Dean P Springstead | Nurse Practitioner | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2013-04-17 |
| 1164779955 | Timothy A Oringer | Physician Assistant | 4743 Arapahoe Ave, Suite 201, Boulder, CO 80303-1113 | 2012-08-10 |
| 1104189042 | Foothills Surgery Center, LLC | Clinic/Center | 4743 Arapahoe Ave, Ste 101, Boulder, CO 80303 | 2012-06-15 |
| 1073898664 | Sara Kadlec | Physician Assistant | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2011-10-15 |
| 1417243254 | Kyle Jordan Marthaller | Surgery | 4743 Arapahoe Ave, Suite 100, Boulder, CO 80303-1113 | 2011-06-21 |
| 1851521389 | Christine Andrea Zakar | Physician Assistant | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2009-07-17 |
| Find all providers in the same location | ||||
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1467758557 | Lisa Marie Wright | Physician Assistant | 4799 Essex Cir, Boulder, CO 80301-4136 | 2011-02-07 |
| 1700434644 | Kristin E Cartledge | Physician Assistant | 4743 Arapahoe Ave Ste 100, Boulder, CO 80303-1123 | 2019-09-03 |
| 1689147555 | Angela C Sloan | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2019-01-03 |
| 1346631637 | Susan Emerson | Physician Assistant | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303-1128 | 2015-02-09 |
| 1558671727 | Allan James Coltrain | Physician Assistant | 4747 Arapahoe Ave, Medical Staff, Boulder, CO 80303-1131 | 2010-10-20 |
| 1851521389 | Christine Andrea Zakar | Physician Assistant | 4743 Arapahoe Ave, Suite 202, Boulder, CO 80303-1113 | 2009-07-17 |
| 1740324136 | Rocky Mountain Medical Services, Inc. | Physician Assistant | 4747 Arapahoe Ave, Boulder, CO 80303-1131 | 2007-02-18 |
| 1265460679 | Nathan R Hawkins | Physician Assistant | 933 Alpine Ave, Boulder, CO 80304-3305 | 2006-06-28 |
| 1346289956 | Eric William Busch | Physician Assistant | 4743 Arapahoe Ave, Ste 202, Boulder, CO 80303-1113 | 2006-06-06 |
| 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.