Joseph J Nissim (NPI# 1780765024, PAC ID# 0143239053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1780765024 |
| PAC ID by PECOS | 0143239053 |
| Professional Enrollment ID | I20100802000433 |
| Full Name | Joseph J Nissim |
| Organization Legal Name | BOULDER COMMUNITY HEALTH |
| Address |
2101 Ken Pratt Blvd Suite 104 Longmont CO 80501-6568 |
| Phone Number | 3034154157 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6800707233 |
| Number of Group Practice Members | 181 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| 060003 | LONGMONT UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6568 | 3034154157 | BOULDER COMMUNITY HEALTH |
| Organization Legal Name | BOULDER COMMUNITY HEALTH |
| Physicians | 210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew James Mcbride | Family Medicine | Boulder Community Health | 1755 48th St, Suite 200, Boulder, CO 80301-2712 |
| Kyle Jordan Marthaller | General Surgery | Boulder Community Health | 4880 Riverbend Rd, Suite 100, Boulder, CO 80301-2622 |
| Timothy Scott Hilden | Physical Therapy | Boulder Community Health | 2150 Stadium Dr, Cu Sports Med and Performance Ctr, Boulder, CO 80309-0001 |
| Carla K Garcia | Nurse Practitioner | Boulder Community Health | 6685 Gunpark Dr, Suite 102, Boulder, CO 80301-3343 |
| Herman A Damek Jr. | Family Medicine | Boulder Community Health | 1000 W S Boulder Rd, 110 Family Medical Associates, Lafayette, CO 80026-2753 |
| Hillary L Browne | Internal Medicine | Boulder Community Health | 2575 Spruce St, Boulder, CO 80302-3806 |
| Vinaya K Kamath | Endocrinology | Boulder Community Health | 5495 Arapahoe Ave, Suite 100b, Boulder, CO 80303-1224 |
| Gary L Grasmick | Family Medicine | Boulder Community Health | 101 Erie Pkwy, 201c Erie Family Medicine, Erie, CO 80516-4072 |
| Bradley Dean Fanestil | Internal Medicine | Boulder Community Health | 4801 Riverbend Rd, Boulder, CO 80301-2613 |
| Carol D Collier | Psychiatry | Boulder Community Health | 311 Mapleton Ave, Boulder, CO 80304-3960 |
| Street Address |
2101 KEN PRATT BLVD SUITE 104 |
| City | LONGMONT |
| State | CO |
| Zip | 80501-6568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Mlodinow | Family Medicine | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Mikyong Hand | Family Medicine | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Elizabeth Sara Lycett | Internal Medicine | Boulder Community Health | 2101 Ken Pratt Blvd, Suite 104, Longmont, CO 80501-6568 |
| Judd W Dawson | Family Medicine | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Corinne Mary Brock | Nurse Practitioner | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Alice M Vienneau | Clinical Social Worker | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Colleen Kilcullen | Nurse Practitioner | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| James Sampson | Nurse Practitioner | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Susan Seydor Nelson | Nurse Practitioner | Catholic Health Initiatives Colorado | 2101 Ken Pratt Blvd, Suite 200, Longmont, CO 80501-6568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Levine | Geriatric Medicine | Life Care Physician Services LLC | 2451 Pratt St, Longmont, CO 80501-1123 |
| Lyle M Pfeifer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Sean J Sands | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Alyssa L Gonzalez | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| William Oligmueller | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Robert V Nouhan | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Claudia M Martin-williams | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Catherine E Cavender | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Daniel R Zenk | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Brittany A Hunter | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Find all physicians in zip 80501 | |||
| City | LONGMONT |
| Zip Code | 80501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LONGMONT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Joseph J Nissim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.