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BOULDER WOMENS CARE PC NPI 1295894178


NPI Information

NPI: 1295894178
Provider Name: BOULDER WOMENS CARE PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
311 MAPLETON AVE # 100
BOULDER, CO
ZIP 80304
Phone: (303) 441-0587
Get Directions

BOULDER WOMENS CARE PC is an obstetrics gynecology in Boulder, CO. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BOULDER WOMENS CARE PC NPI is 1295894178. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 MAPLETON AVE # 100
BOULDER, CO
ZIP 80304-979
Phone: (303) 441-0587
Fax: (303) 996-0801

The provider's authorized official is Mako Shimoda .
The authorized official title is Owner and has the following contact phone number (303) 441-0587.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 2/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology56795COLORADONo
2207V00000XObstetrics & Gynecology36257COLORADONo
3207V00000XObstetrics & Gynecology34690COLORADONo
4207V00000XObstetrics & Gynecology43546COLORADONo
5207V00000XObstetrics & Gynecology42614COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I03942MEDICARE UPIN
201346907MEDICAIDCOLORADO
323028327MEDICAIDCOLORADO
480637779MEDICAIDCOLORADO
5G21386MEDICARE UPIN
6C441158MEDICARE PINCOLORADO
7G11843MEDICARE UPIN
8I34621MEDICARE UPIN
955404251MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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