Boulder Womens Care PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

42614 Issued in CO

Legal business name

BOULDER WOMENS CARE PC

Practice address

311 Mapleton Ave # 100
Boulder, CO 80304-3979

Phone

(303) 441-0587

Fax

(303) 996-0801

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mako Shimoda, MD

Title

Owner

Phone

(303) 441-0587

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

Practitioners 6

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

• Melissa S Dunn, MD

  • Obstetrics & Gynecology Physician
  • Longmont, CO
  • NPI 1598895435
  NPD (past)
• Karen Elizabeth Kaufman, M.D.

  • Gynecologic Oncology Physician
  • Louisville, CO
  • NPI 1770518284
  NPD (past)
• Kala Kluender, RN, MSN, CNM

  • Midwife
  • Boulder, CO
  • NPI 1144504168
  NPD (past)
• Eryn Bethany Applegate, MD

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
  • NPI 1558322032
  NPD (past)
• Jennifer R Freeman, MD

  • Obstetrics & Gynecology Physician
  • Springfield, OR
  • NPI 1033170519
  NPD (past)
• Lisa Ann Lepine, MD

  • Obstetrics & Gynecology Physician
  • Santa Barbara, CA
  • NPI 1750342234
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1295894178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17458",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803080458",
            "telephone_number": "303-441-0587",
            "fax_number": "303-996-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAPLETON AVE # 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043979",
            "telephone_number": "303-441-0587",
            "fax_number": "303-996-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "SHIMODA",
        "authorized_official_first_name": "MAKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-441-0587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "56795",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "36257",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "34690",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "43546",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23028327",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80637779",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346907",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55404251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Valley Pulmonology
• Boulder Valley School District Re 2
• Boulder Valley Women'S Health Center, Inc.
• Boulder Vision Associates, P.C., Inc.
• Boulder Wellness Counseling, PLLC
• Boulderbodyworks
• Bouldercentre for Orthopedics
• Bouldercentre for Orthopedics PC
• Deanna Marie Bourgeois, OTD, OTR/L
• Michele Bourgeois, LCSW

• Obstetrics & Gynecology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.