Alexandra L Dimatteo (NPI# 1467795914, PAC ID# 7810207396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1467795914 |
| PAC ID by PECOS | 7810207396 |
| Professional Enrollment ID | I20170825002743 |
| Full Name | Alexandra L Dimatteo |
| Organization Legal Name | BOULDER MEDICAL CENTER, PC |
| Address |
4745 Arapahoe Ave Suite 200 Boulder CO 80303-1082 |
| Phone Number | 3039384700 |
| Gender | F |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4183536204 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060027 | BOULDER COMMUNITY HEALTH |
| 060003 | LONGMONT UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2750 Broadway St, Boulder, CO 80304-3573 | 3034403000 | BOULDER MEDICAL CENTER, PC |
| 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 | 3039384700 | BOULDER MEDICAL CENTER, PC |
| 2030 Mountain View Ave, Suite 400, Longmont, CO 80501-3182 | 3039384710 | BOULDER MEDICAL CENTER, PC |
| Organization Legal Name | BOULDER MEDICAL CENTER, PC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine H Abair | Obstetrics/gynecology | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| 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 |
| Jennifer B Grodberg | Internal Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Robert H Levine | Gastroenterology | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elise Catherine Reinhard | Geriatric Medicine | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Elizabeth T. Moran | Physician Assistant | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| Elizabeth D Helgans | Physician Assistant | Boulder Medical Center, PC | 2750 Broadway St, Boulder, CO 80304-3573 |
| Katherine L Mccormack | Allergy/immunology | Boulder Medical Center, PC | 80 Health Park Dr, Suite 100, Louisville, CO 80027-4644 |
| Street Address |
4745 ARAPAHOE AVE SUITE 200 |
| City | BOULDER |
| State | CO |
| Zip | 80303-1082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Kevin H Cuevas | Ophthalmology | Donald J Keller Md PC | 4745 Arapahoe Ave, Suite 100, Boulder, CO 80303-1133 |
| Donald J Keller | Ophthalmology | Donald J Keller Md PC | 4745 Arapahoe Ave, Suite 100, Boulder, CO 80303-1133 |
| Richard J Fox | General Surgery | Alpine Surgical LLC | 4745 Arapahoe Ave, Suite 300, Boulder, CO 80303-1292 |
| 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 |
| Trisha Quon | Physician Assistant | Alpine Surgical LLC | 4745 Arapahoe Ave, Suite 300, Boulder, CO 80303-1292 |
| 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 | |
| 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 | |
| Alana M Revoal | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Jennifer M Blattner | Obstetrics/gynecology | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| John M Kelley | Family Medicine | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Brenda Price | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Melissa S Dunn | Obstetrics/gynecology | Boulder Community Health | 4745 Arapahoe Ave, Suite 320, Boulder, CO 80303-1082 |
| Erin Harper-sanchez | Certified Nurse Midwife (cnm) | Boulder Medical Center, PC | 4745 Arapahoe Ave, Suite 200, Boulder, CO 80303-1082 |
| Find all physicians in zip 80303 | |||
| City | BOULDER |
| Zip Code | 80303 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BOULDER + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Alexandra L Dimatteo.
| 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.