Ronald Winfield Hartley Jr. (NPI# 1649208646, PAC ID# 2466649652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1649208646 |
| PAC ID by PECOS | 2466649652 |
| Professional Enrollment ID | I20101214000962 |
| Full Name | Ronald Winfield Hartley Jr. |
| Organization Legal Name | BOULDER PLASTIC SURGERY PROF LLC |
| Address |
2525 4th St Suite 202 Boulder CO 80304-4014 |
| Phone Number | 3034432277 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 0941197248 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060103 | CENTURA HEALTH-AVISTA ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2525 4th St, Suite 202, Boulder, CO 80304-4014 | 3034432277 | BOULDER PLASTIC SURGERY PROF LLC |
| Organization Legal Name | BOULDER PLASTIC SURGERY PROF LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin B Maxhimer | Plastic and Reconstructive Surgery | Boulder Plastic Surgery Prof LLC | 2525 4th St, Suite 202, Boulder, CO 80304-4014 |
| Hans R Kuisle | Plastic and Reconstructive Surgery | Boulder Plastic Surgery Prof LLC | 2525 4th St, Suite 202, Boulder, CO 80304-4014 |
| Street Address |
2525 4TH ST SUITE 202 |
| City | BOULDER |
| State | CO |
| Zip | 80304-4014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin B Maxhimer | Plastic and Reconstructive Surgery | Boulder Plastic Surgery Prof LLC | 2525 4th St, Suite 202, Boulder, CO 80304-4014 |
| Hans R Kuisle | Plastic and Reconstructive Surgery | Boulder Plastic Surgery Prof LLC | 2525 4th St, Suite 202, Boulder, CO 80304-4014 |
| 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 | |
| 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 |
| Todd C. Becker | 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 |
| Carol Louise Spar | Psychologist, Clinical | 2163 Kalmia Cir, Boulder, CO 80304-1912 | |
| Find all physicians in zip 80304 | |||
| City | BOULDER |
| Zip Code | 80304 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | BOULDER + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Ronald Winfield Hartley Jr..
| 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.