Boulder Valley Pathology P C

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

BOULDER VALLEY PATHOLOGY P C

Practice address

4747 Arapahoe Ave
Boulder, CO 80303-1131

Phone

(303) 415-7000

NPI assigned

Mar 29, 2006

Last updated

Oct 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin W Hanley, M.D.NPI 1003877390

Title

President

Phone

(303) 465-0401

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin W Hanley, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Boulder, CO
  • NPI 1003877390
  Medicare reassignment Care Compare group NPD Authorized official
• Parker Wayne Clement

  • Anatomic Pathology & Clinical Pathology Physician
  • Boulder, CO
  • NPI 1376809442
  Medicare reassignment Care Compare group NPD
• Robert C Forsythe, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Boulder, CO
  • NPI 1669432860
  Medicare reassignment Care Compare group NPD
• Jason H Smouse, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Boulder, CO
  • NPI 1578597225
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1205897220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209043",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753209043",
            "telephone_number": "800-475-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031131",
            "telephone_number": "303-415-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER VALLEY PATHOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-465-0401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04984043",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8338",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://cpiapigateway.cms.gov/api/esmdf/ext/v1/fhir/Practitioner/",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.1036.1",
            "affiliationName": "Management Services Network, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2357 Warm Springs Rd Ste 400",
            "city": "Columbus",
            "state": "GA",
            "country_code": "US",
            "postal_code": "319046874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Boulder Valley Orthodontics, PLLC (Walker & Leypoldt Orthodontics)
• Boulder Valley Plastic Surgery Inc.
• Boulder Valley Psychotherapy Inc.
• Boulder Valley Pulmonology
• Boulder Valley School District Re 2
• Boulder Valley Women's Health Center, Inc. (Boulder Valley Health Center)

• Anatomic Pathology & Clinical Pathology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.