Columbine Foot & Ankle Center P C

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COLUMBINE FOOT & ANKLE CENTER P C

Practice address

350 Broadway
Ste 208
Boulder, CO 80305

Phone

(303) 499-4448

Fax

(303) 499-5123

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Jelinek, DPMNPI 1730173519

Title

Owner Doctor

Phone

(303) 499-4448

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Robert Alan Jelinek, DPM

  • Podiatrist
  • Boulder, CO
  • NPI 1730173519
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487762761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY",
            "address_2": "STE 208",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-499-4448",
            "fax_number": "303-499-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY",
            "address_2": "STE 208",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-499-4448",
            "fax_number": "303-499-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE FOOT & ANKLE CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JELINEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-499-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004654",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.