Mary Margaret Therese Kober, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DR.0063165 Issued in CO

Practice address

1830 Blake Ave
Glenwood Springs, CO 81601-4275

Phone

(970) 945-8503

NPI assigned

Apr 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, SC, CO3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Dermatology

Education

University of Michigan Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beyond Skin Dermatology LLCGroup PAC ID 7315483781, 2 clinicians

Dermatology Center of the RockiesGroup PAC ID 7416120936, 4 clinicians

Glenwood Medical Associates PCGroup PAC ID 6901798404, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkober@aquadermatology.emadirect.md

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.

• Beyond Skin Dermatology LLC

  • Dermatology Physician
  • Aurora, CO
  • NPI 1285494096
  Medicare reassignment Care Compare group NPD
• Dermatology Center of the Rockies

  • Dermatology Physician
  • Longmont, CO
  • NPI 1538449558
  Medicare reassignment Care Compare group NPD
• Glenwood Medical Assoc

  • Family Medicine Physician
  • Glenwood Springs, CO
  • NPI 1427191501

  Dermatology

  Medicare reassignment Care Compare group NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1134170012
  Medicare reassignment NPD
• Aqua Dermatology of Florida, PA

  • Dermatology Physician
  • Palm Beach Gardens, FL
  • NPI 1538270335
  Medicare reassignment NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Castle Rock, CO
  • NPI 1811590433
  NPD
• Glenwood Medical Associates PC

  • Family Medicine Physician
  • New Castle, CO
  • NPI 1992312813

  Dermatology

  NPD
• Naples Center for Dermatology & Riverchase Dermatology

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
  • NPI 1538645775
  NPD
• GMJM, LLC

  • Physical Therapist
  • Glenwood Springs, CO
  • NPI 1386716454
  NPD (past)

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1376832642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014275",
            "telephone_number": "970-945-8503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9125 Corsea Del Fontana Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341094430",
            "country_code": "US",
            "telephone_number": "239-598-4004",
            "fax_number": "239-598-4713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBER",
        "first_name": "MARY MARGARET",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "78776",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123421",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0063165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Caroline Kinsman, LPC
• Keli Ann Kirkpatrick
• Travis Robert Klein, CNP
• Ryan Matthew Klumb, DDS
• Mary Susan Knutson, MSP
• Kelli Jo Konst-Skwiot, M.D.
• Jonathan Konstantopoulos
• Rees Daniel Kopecky, DC
• Joy Kor, CNM
• Ashley Kottwitz, RN

• Dermatology Physician in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.