Todd C. Becker (NPI# 1508049206, PAC ID# 0648459933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1508049206 |
| PAC ID by PECOS | 0648459933 |
| Professional Enrollment ID | I20120712000291 |
| Full Name | Todd C. Becker |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF BOULDER CREEK LLC |
| Address |
3575 Broadway St Boulder CO 80304-1825 |
| Phone Number | 3034490933 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8921306762 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 3575 Broadway St, Boulder, CO 80304-1825 | 3034490933 | INTEGRATED DERMATOLOGY OF BOULDER CREEK LLC |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF BOULDER CREEK LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Christine K Porter | Physician Assistant | Integrated Dermatology of Boulder Creek LLC | 400 S Mccaslin Blvd, 100 Boulder Dermatology, Louisville, CO 80027-9701 |
| John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Street Address |
3575 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip | 80304-1825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison E Morrison | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Steven D Resnick | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| John R Steinbaugh | Dermatology | Integrated Dermatology of Boulder Creek LLC | 3575 Broadway St, Boulder, CO 80304-1825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey S Rumbyrt | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| William H Newman | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Francine G Andrews | Allergy/immunology | Boulder Valley Asthma and Allergy Clinics PC | 3950 Broadway St, Boulder, CO 80304-1104 |
| Karen Wegela | Psychologist, Clinical | 2590 Norwood Ave, Boulder, CO 80304-1363 | |
| Carol J Schneider | Psychologist, Clinical | 1229 Kalmia Ave, Boulder, CO 80304-1810 | |
| Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
| Charlotte W Krasnoff | Clinical Social Worker | 1990 Kalmia Ave, Boulder, CO 80304-1925 | |
| Janet Bychek | Clinical Social Worker | 1720 Grape Ave, Boulder, CO 80304-2203 | |
| Frank E Leone | Psychiatry | Mental Health Center of Boulder County, Inc. | 1333 Iris Ave, Boulder, CO 80304-2226 |
| Jillian Morrison | Clinical Social Worker | Mental Health Center of Boulder County, Inc. | 1333 Iris Ave, Boulder, CO 80304-2226 |
| Find all physicians in zip 80304 | |||
| City | BOULDER |
| Zip Code | 80304 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOULDER + DERMATOLOGY |
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| 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.