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WISDOM HEALTH PC NPI 1407187636


NPI Information

NPI: 1407187636
Provider Name: WISDOM HEALTH PC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
350 PONCA PL
SUITE 250
BOULDER, CO
ZIP 80303
Phone: (303) 938-1110
Get Directions

WISDOM HEALTH PC is a geriatric medicine family medicine in Boulder, CO. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. WISDOM HEALTH PC NPI is 1407187636. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 PONCA PL
SUITE 250
BOULDER, CO
ZIP 80303-828
Phone: (303) 938-1110

The provider's authorized official is Anne Giesen .
The authorized official title is Physician and has the following contact phone number (303) 938-1110.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/28/2010.


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
1207QG0300XFamily MedicineGeriatric Medicine40821COLORADOYes

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
1H08025MEDICARE UPIN
2C517398MEDICARE PINCOLORADO

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: 4/28/2024

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