Boulder Dermatology Clinic, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

20521 Issued in CO

Legal business name

BOULDER DERMATOLOGY CLINIC, PC

Practice address

400 S McCaslin Blvd
Suite 100
Louisville, CO 80027-9731

Phone

(303) 666-5261

Fax

(303) 604-6062

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Steinbaugh, M.D.

Title

Owner

Phone

(303) 666-5261

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871634790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279731",
            "telephone_number": "303-666-5261",
            "fax_number": "303-604-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279731",
            "telephone_number": "303-666-5261",
            "fax_number": "303-604-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER DERMATOLOGY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEINBAUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-666-5261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "20521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Scott Boehm, M.D.
• James A Bondarovich, D.C.
• Cosette Lynn Boon, M.A.; LPC
• Eric Boucher, D.M.D.
• Boulder Community Health (Community Medical Assoc of B.C.H.)
• Boulder Endocrinology Physicians (Boulder Endocrinology PLLC)
• Boulder Medical Center, P.C.
• Boulder Neurology and Concussion PLLC (Boulder Neurology and Concussion)
• Boulder Plastic Surgery Prof LLC
• Boulder Valley Neurology P C

• Specialist in Louisville, CO
• Providers in Louisville, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.