Allister M Boustred (NPI# 1538125083, PAC ID# 0547247355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1538125083 |
| PAC ID by PECOS | 0547247355 |
| Professional Enrollment ID | I20081106000854 |
| Full Name | Allister M Boustred |
| Organization Legal Name | NORTHERN COLORADO PLASTIC SURGERY, PC |
| Address |
2315 E Harmony Rd Suite 160 Fort Collins CO 80528-8620 |
| Phone Number | 9704938800 |
| Gender | M |
| Graduation Year | 1979 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Group Practice PAC ID | 7517935620 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060010 | POUDRE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2315 E Harmony Rd, Suite 160, Fort Collins, CO 80528-8620 | 9704938800 | NORTHERN COLORADO PLASTIC SURGERY, PC |
| 2315 E Harmony Rd, Fort Collins, CO 80528-8620 | 9704938800 | NORTHERN COLORADO PLASTIC SURGERY, PC |
| Organization Legal Name | NORTHERN COLORADO PLASTIC SURGERY, PC |
| Physicians | 1 |
| Street Address |
2315 E HARMONY RD SUITE 160 |
| City | FORT COLLINS |
| State | CO |
| Zip | 80528-8620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia E Kuyper | Occupational Therapy | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, Suite 170, Fort Collins, CO 80528-8620 |
| Jason C Warncke | Urology | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 140 Uchmg Urology Fort Collins, Fort Collins, CO 80528-8620 |
| Thomas M Hecker | Podiatry | 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528-8620 | |
| Donald A Golen | Neurology | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 110 Uchmg Neurology Redstone, Fort Collins, CO 80528-8623 |
| Dawn R Eeten | Physician Assistant | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 110 Uchmg Neurology Redstone, Fort Collins, CO 80528-8623 |
| Megan A Richard | Physical Medicine and Rehabilitation | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 110 Uchmg Neurology Redstone, Fort Collins, CO 80528-8623 |
| Michael R Lee | Urology | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 140 Uchmg Urology Fort Collins, Fort Collins, CO 80528-8620 |
| Kimberly L Lindeken | Nurse Practitioner | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 110 Uchmg Neurology Redstone, Fort Collins, CO 80528-8623 |
| Timothy Harland Soper | Urology | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 140 Uchmg Urology Fort Collins, Fort Collins, CO 80528-8620 |
| George H Phillips | Urology | Poudre Valley Medical Group LLC | 2315 E Harmony Rd, 140 Uchmg Urology Fort Collins, Fort Collins, CO 80528-8620 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Higginson | Chiropractic | 5026 Brookfield Dr, Unit C, Fort Collins, CO 80528-3181 | |
| Bruce Michael Smith | Otolaryngology | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Daniel Eugene Ostergren | Qualified Audiologist | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Meghan M.w. Abraham | Audiologist | Ear Nose and Throat Associates of Northern Colorado PC | 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528-3400 |
| Meriam P Izon | Endocrinology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 230 Uchmg Endocrinology/rheumatology, Fort Collins, CO 80528-3401 |
| Jennifer M Hendrick | Internal Medicine | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, Fort Collins, CO 80528-3401 |
| Philip B Dattilo | Interventional Cardiology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 100 Uchmg Cardiology Fort Collins, Fort Collins, CO 80528-3401 |
| Jill M Olson | Neurology | Advanced Neurology of Colorado LLC | 2121 E Harmony Rd, Unit 180, Fort Collins, CO 80528-3401 |
| Meghan Reusser | Nurse Practitioner | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 230 Uchmg Endocrinology/rheumatology, Fort Collins, CO 80528-3401 |
| Robert Kiser | Cardiac Electrophysiology | Poudre Valley Medical Group LLC | 2121 E Harmony Rd Unit, 100 Uchmg Cardiology Fort Collins, Fort Collins, CO 80528-3401 |
| Find all physicians in zip 80528 | |||
| City | FORT COLLINS |
| Zip Code | 80528 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | FORT COLLINS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Allister M Boustred.
| 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.