Eben D. Carsey, MD, Professional LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21351 Issued in CO

Legal business name

EBEN D. CARSEY, MD, PROFESSIONAL LLC

Practice address

4745 Arapahoe Ave Ste 310
Boulder, CO 80303-1082

Phone

(303) 442-2913

Fax

(303) 444-6198

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Eben Carsey

Title

Owner

Phone

(303) 442-2913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1396928719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 310",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031082",
            "telephone_number": "303-442-2913",
            "fax_number": "303-444-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 ARAPAHOE AVE STE 310",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031082",
            "telephone_number": "303-442-2913",
            "fax_number": "303-444-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBEN D. CARSEY, MD, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "CARSEY",
        "authorized_official_first_name": "EBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-442-2913"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "21351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.