Andrea Elaine Boedecker (NPI# 1952537557, PAC ID# 3072730548) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1952537557 |
| PAC ID by PECOS | 3072730548 |
| Professional Enrollment ID | I20151103001030 |
| Full Name | Andrea Elaine Boedecker |
| Organization Legal Name | HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC |
| Address |
9191 Grant St Thornton CO 80229-4361 |
| Phone Number | 3034517800 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2365537768 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060065 | NORTH SUBURBAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4809 Argonne St, Denver, CO 80249-6834 | 3037504933 | HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC |
| 9191 Grant St, Thornton, CO 80229-4361 | 3034517800 | HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC |
| 9191 Grant St, Suite 200, Thornton, CO 80229-4361 | 3034517800 | HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC |
| Organization Legal Name | HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa James | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 7780 S Broadway, Suite 300, Littleton, CO 80122-2633 |
| Walter B Vernon | General Surgery | Healthone Clinic Services-surgical Specialties LLC | 4809 Argonne St, Denver, CO 80249-6834 |
| Kevin P Davis | Gynecological Oncology | Healthone Clinic Services-surgical Specialties LLC | 701 E Hampden Ave, 210 Rocky Mountain Gynecological Oncolo, Englewood, CO 80113-2737 |
| Andrew James Nemechek | Otolaryngology | Healthone Clinic Services-surgical Specialties LLC | 501 E Hampden Ave, Englewood, CO 80113-2795 |
| Mandi S Phillips | Nurse Practitioner | Healthone Clinic Services-surgical Specialties LLC | 4809 Argonne St, Denver, CO 80249-6834 |
| Thomas G Heffron | General Surgery | Healthone Clinic Services-surgical Specialties LLC | 1501 S Potomac St, Aurora, CO 80012-5411 |
| Brittany L Dorio | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 1601 E 19th Ave, Denver Int'l Spine Center, Denver, CO 80218-1291 |
| Jodi A Frangiamore | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 501 E Hampden Ave, Englewood, CO 80113-2795 |
| Kylie P Wead | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 601 E Hampden Ave, Suite 250, Englewood, CO 80113-2781 |
| Jaime M Smith | Physician Assistant | Healthone Clinic Services-surgical Specialties LLC | 1601 E 19th Ave, Denver Int'l Spine Center, Denver, CO 80218-1291 |
| Street Address |
9191 GRANT ST |
| City | THORNTON |
| State | CO |
| Zip | 80229-4361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank A Bonifacio | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Jose C De Leon | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Justin Howard | Certified Registered Nurse Anesthetist (crna) | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Lyndsey B Lodha | Certified Registered Nurse Anesthetist (crna) | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Stephen M Campbell | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Timothy Farnum | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Andrew D Hennessy | Certified Registered Nurse Anesthetist (crna) | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| William M Gambrell Iii | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Theodore David Haynes | Certified Registered Nurse Anesthetist (crna) | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Kellie J Stivers | Anesthesiology | Us Anesthesia Partners of Colorado Inc | 9191 Grant St, Thornton, CO 80229-4361 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Russell Nash | Pathology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Nicole M Vanica | Certified Registered Nurse Anesthetist (crna) | Central Colorado Anesthesia Associates LLC | 10001 Washington St, Thornton, CO 80229-2050 |
| Paul Deneault | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Asif Husain | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Tonya M. Delano | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Heidi L Stahl | Certified Registered Nurse Anesthetist (crna) | Central Colorado Anesthesia Associates LLC | 10001 Washington St, Thornton, CO 80229-2050 |
| Sam Anouna | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Teal J Mefford | Nurse Practitioner | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Andrzej Triebling | Gastroenterology | Rocky Mountain Gastroenterology Associates, Pllc | 10001 Washington St, Thornton, CO 80229-2050 |
| Daniel Ramirez | Nurse Practitioner | 501 Thornton Pkwy, Thornton, CO 80229-2101 | |
| Find all physicians in zip 80229 | |||
| City | THORNTON |
| Zip Code | 80229 |
| Specialty | GENERAL SURGERY |
| City + Specialty | THORNTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Andrea Elaine Boedecker.
| 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.