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BOULDER VALLEY GASTROENTEROLOGY INC. NPI 1902832603


NPI Information

NPI: 1902832603
Provider Name: BOULDER VALLEY GASTROENTEROLOGY INC.

Doing Business As: GASTROENTEROLOGY OF THE ROCKIES

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 06D2051232

Address:
1000 W SOUTH BOULDER RD
SUITE 200
LAFAYETTE, CO
ZIP 80026
Phone: (303) 604-5000
Get Directions

BOULDER VALLEY GASTROENTEROLOGY INC. is a gastroenterology internal medicine in Lafayette, CO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. BOULDER VALLEY GASTROENTEROLOGY INC. NPI is 1902832603. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gastroenterology Of The Rockies.

The provider's business location address is:

1000 W SOUTH BOULDER RD
SUITE 200
LAFAYETTE, CO
ZIP 80026-752
Phone: (303) 604-5000
Fax: (720) 890-0364

The provider's authorized official is Daus Mahnke .
The authorized official title is Board Member and has the following contact phone number (303) 604-5000.

The CLIA number assigned to this NPI record is 06D2051232 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 12/11/2020.


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
1207RG0100XInternal MedicineGastroenterologyYes

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
1GAA1308OTHERCOLORADOBCBS
2CD5666OTHERCOLORADORAILROAD MEDICARE
304004180MEDICAIDCOLORADO

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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