NPIMap

Organization Active NPI

Boulder Cancer Center, LLC

  • Radiation Oncology Physician
  • Boulder, CO
National Provider Identifier
1154563807
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
200946901 Issued in CO
Legal business name
BOULDER CANCER CENTER, LLC
Practice address
905 Alpine Ave
Boulder, CO 80304-3305
Phone
(303) 448-4620
Fax
(303) 449-5807
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Dr. Kevin Lawerance Schewe, M.D.NPI 1902883952
Title
President
Phone
(303) 448-4620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 200946901 CO Primary

Addresses

Primary practice location

905 Alpine Ave
Boulder, CO 80304-3305

Mailing address

905 Alpine Ave
Boulder, CO 80304-3305
Phone (303) 448-4620

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1154563807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALPINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043305",
            "telephone_number": "303-448-4620",
            "fax_number": "303-449-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALPINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043305",
            "telephone_number": "303-448-4620",
            "fax_number": "303-449-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHEWE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAWERANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-448-4620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "200946901",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 26, 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.