NPIMap

Individual provider Active NPI

Eric Joseph Vanzura, D.O.

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1114995024
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CDRH.0038620 Issued in CO
Practice address
350 Broadway St
Ste 100
Boulder, CO 80305-3304
Phone
(720) 259-4609
Fax
(844) 704-5808
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X CDRH.0038620 CO
Family Medicine Physician 207Q00000X CDRH.0038620 CO Primary

Addresses

Primary practice location

350 Broadway St
Ste 100
Boulder, CO 80305-3304

Mailing address

2910 Stanford Ave
Boulder, CO 80305-5341
Phone (720) 259-4609

Other identifiers 1

IdentifierTypeStateIssuer
27625737MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000723 CO Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospitalist 5799683470 Reassigns benefits to 2 organizations
Practice locations: Louisville, CO

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist, Osteopathic Manipulative Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 S Broadway St
Suite 100
Boulder, CO 80305-3455
Phone (720) 259-4609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
CDRH.0038620COMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Z Osteopathic Family Medicine, PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Apr 14, 2012 Accepting new patients
Boulder Community Health PastSince Jan 1, 2011 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Boulder Community Health Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients

Locations

350 Broadway St
Ste 100
Boulder, CO 80305
Phone (720) 259-4609

Interoperability endpoints

  • Direct secure messaging: drvanzura@hzofmp-co.direct.office.nextgen.com
  • Direct secure messaging: eric.vanzura.1@25213.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1114995024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 STANFORD AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055341",
            "telephone_number": "720-259-4609",
            "fax_number": "844-704-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST",
            "address_2": "STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053304",
            "telephone_number": "720-259-4609",
            "fax_number": "844-704-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZURA",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "CDRH.0038620",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0038620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27625737",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.