Kevin W Hanley (NPI# 1003877390, PAC ID# 1759472723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1003877390 |
| PAC ID by PECOS | 1759472723 |
| Professional Enrollment ID | I20100512000584 |
| Full Name | Kevin W Hanley |
| Organization Legal Name | BOULDER VALLEY PATHOLOGY PC |
| Address |
4747 Arapahoe Ave Boulder CO 80303-1133 |
| Phone Number | 7208547000 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1969 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8527957927 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 4747 Arapahoe Ave, Boulder, CO 80303-1133 | 7208547000 | BOULDER VALLEY PATHOLOGY PC |
| Organization Legal Name | BOULDER VALLEY PATHOLOGY PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Parker Wayne Clement | Pathology | Boulder Valley Pathology PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Jason H Smouse | Pathology | Boulder Valley Pathology PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Robert C Forsythe | Pathology | Boulder Valley Pathology PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| William W Howland | Pathology | Boulder Valley Pathology PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Street Address |
4747 ARAPAHOE AVE |
| City | BOULDER |
| State | CO |
| Zip | 80303-1133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wael F Garas | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Santiago De La Garza | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Gustavo L Isuani | Diagnostic Radiology | Boulder Radiologists Inc PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Jonathan Reid Sprague | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Jeska Albuisson | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Paul D King | Diagnostic Radiology | Boulder Radiologists Inc PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Kristen S Dalton | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Robert E Helgans Iii | Diagnostic Radiology | Boulder Radiologists Inc PC | 4747 Arapahoe Ave, Boulder, CO 80303-1133 |
| Adam Noah Levine | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Melanie S Ryan | Internal Medicine | Boulder Community Health | 4747 Arapahoe Ave, Boulder, CO 80303-1131 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine L Johnston | Psychologist, Clinical | 4141 Arapahoe Ave, Suite 201, Boulder, CO 80303-1032 | |
| Jill L Siegfried | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Christopher R Pohlman | General Surgery | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Karin N Susskind | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Laurie Anne Rodenberg | Certified Nurse Midwife (cnm) | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Heather M Bright-hoffmeyer | Obstetrics/gynecology | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Shawn Denham | Qualified Audiologist | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Bettina L Willuhn | Physician Assistant | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Jeremiah Eric Mcnamara | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Christine C Hansen | Obstetrics/gynecology | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1082 | |
| Find all physicians in zip 80303 | |||
| City | BOULDER |
| Zip Code | 80303 |
| Specialty | PATHOLOGY |
| City + Specialty | BOULDER + PATHOLOGY |
Please comment or provide details below to improve the information on Kevin W Hanley.
| 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.