Active NPI
Rittel & Josephsd.O. Professional LLC
- Family Medicine Physician
- Boulder, CO
National Provider Identifier
1093992224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28684
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01286848 | Medicaid | CO | |
| 37284541 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.