Organization Active NPI

Ecc Creative Solutions, Inc

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1467212076
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ECC CREATIVE SOLUTIONS, INC
Practice address
1515 Redwood Ave
Boulder, CO 80304-1115
Phone
(303) 842-1441
NPI assigned
Mar 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Dr. Eileen Gallagher, MD
Title
Ceo, Owner
Phone
(303) 842-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1515 Redwood Ave
Boulder, CO 80304-1115

Mailing address

1515 Redwood Ave
Boulder, CO 80304-1115
Phone (303) 842-1441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1467212076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 REDWOOD AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041115",
            "telephone_number": "303-842-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 REDWOOD AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041115",
            "telephone_number": "303-842-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECC CREATIVE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "303-842-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.