Organization Active NPI

Rittel & Josephsd.O. Professional LLC

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1093992224
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28684 Issued in CO
Legal business name
RITTEL & JOSEPHSD.O. PROFESSIONAL LLC
Practice address
3055 47TH Street
Boulder, CO 80301-5469
Phone
(303) 447-0550
Fax
(303) 447-9570
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nathan M. Josephs, DO
Title
Medical Director
Phone
(303) 447-0550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 28684 CO Primary

Addresses

Primary practice location

3055 47TH Street
Boulder, CO 80301-5469

Mailing address

3055 47TH Street
Boulder, CO 80301-5469
Phone (303) 447-0550

Other identifiers 2

IdentifierTypeStateIssuer
01286848MedicaidCO
37284541MedicaidCO

National Provider Directory

National Provider Directory

Locations

3055 47th St
Boulder, CO 80301
Phone (303) 442-5000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1093992224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 47TH STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015469",
            "telephone_number": "303-447-0550",
            "fax_number": "303-447-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 47TH STREET",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015469",
            "telephone_number": "303-447-0550",
            "fax_number": "303-447-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITTEL & JOSEPHSD.O. PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPHS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-447-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286848",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37284541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.