Take Two Health PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

DR-45461 Issued in CO

Legal business name

TAKE TWO HEALTH PC

Practice address

2503 Walnut St Ste 200
Boulder, CO 80302-5745

Phone

(303) 557-2250

Fax

(303) 325-7688

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Leto Quarles, MD

Title

Physician Ceo

Phone

(303) 557-2250

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Joseph Randall Lutt, M.D.

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1023233707
  NPD
• Shiraz Moinuddin, M.D.

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1063600336
  NPD

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1720503139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024930",
            "telephone_number": "13035026241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 WALNUT ST STE 200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025745",
            "telephone_number": "303-557-2250",
            "fax_number": "303-325-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE TWO HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "QUARLES",
        "authorized_official_first_name": "LETO",
        "authorized_official_title_or_position": "PHYSICIAN CEO",
        "authorized_official_telephone_number": "303-557-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "DR-45461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57820511",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Syta
• Caryn Szameitat, PT
• T & a Builders, Inc.
• Darwin Ta
• Carolyn Tabak, M.D., M.P.H.
• Susan A Takemoto, D.D.S.
• Kazuhiko Takeuchi, M.A.
• Christine Victoria Talaga Morgan, M.A., L.P.C.
• Jennifer Talagrand
• Talk Therapy Corporation

• Primary Care Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.