Rocky Mountain Dermatology, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

41453 Issued in CO

Legal business name

ROCKY MOUNTAIN DERMATOLOGY, P.C.

Practice address

2400 Spruce St
Ste 101
Boulder, CO 80302-4617

Phone

(303) 444-0833

Fax

(303) 444-0803

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Hackney Scatena, M.D.NPI 1861529893

Title

Clinic Director

Phone

(303) 444-0833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

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

• Lisa H Scatena, M.D.

  • Dermatology Physician
  • Boulder, CO
  • NPI 1861529893

  CO

  Medicare reassignment Care Compare group NPD Authorized official
• Dawn E Ammon, PA

  • Physician Assistant
  • Denver, CO
  • NPI 1831310580

  CO

  Medicare reassignment Care Compare group
• Shannon Duffy, MMSC, PA-C

  • Physician Assistant
  • Boulder, CO
  • NPI 1902577604

  CO

  Medicare reassignment Care Compare group
• Mark F Barnes, PT, MPT, DPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1669403473
  NPD (past)
• Ann M Carrico, PT, MPT, C.PED.

  • Physical Therapist
  • Boulder, CO
  • NPI 1285780361
  NPD (past)
• Ember Marie Ingebretson, PT, MPT, DPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1134147671
  NPD (past)
• Reuben Bryn Thompson, FCAMT, BSCPT

  • Orthopedic Physical Therapist
  • Boulder, CO
  • NPI 1871749416
  NPD (past)
• Kirsten W. Whiting, CMS, DPT

  • Physical Therapist
  • Boulder, CO
  • NPI 1205904802
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1174776009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SPRUCE ST",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024617",
            "telephone_number": "303-444-0833",
            "fax_number": "303-444-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SPRUCE ST",
            "address_2": "STE 101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024617",
            "telephone_number": "303-444-0833",
            "fax_number": "303-444-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SCATENA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "HACKNEY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "303-444-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "41453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Cancer Centers, LLP
• Rocky Mountain Cancer Centers, LLP
• Rocky Mountain Cardiology
• Rocky Mountain Center for Advanced Medicine
• Rocky Mountain Clinics LLC
• Rocky Mountain Eye Institute, LLC
• Rocky Mountain Fire District
• Rocky Mountain Medical Group, P.C.
• Rocky Mountain Medical Services, Inc.
• Rocky Mountain Pelvic Health, LLC

• All providers in Boulder, CO
• Medical Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.