Boulder Valley Foot & Ankle Clinic PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

478 Issued in CO

Legal business name

BOULDER VALLEY FOOT & ANKLE CLINIC PC

Practice address

4735 Walnut St Ste C
Boulder, CO 80301-2553

Phone

(303) 443-8900

Fax

(303) 442-3140

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Donna J Courtemanche

Title

Manager

Phone

(303) 443-8900

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10978/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Christina Alice Weber, DPM

  • Podiatrist
  • Boulder, CO
  • NPI 1790746170
  Medicare reassignment Care Compare group NPD
• Yvonne Bridgett Weber, DPM

  • Podiatrist
  • Boulder, CO
  • NPI 1891756250
  Medicare reassignment Care Compare group NPD
• Edward B Ballow, DPM

  • Podiatrist
  • Denver, CO
  • NPI 1871592477
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1891989760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 WALNUT ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012553",
            "telephone_number": "303-443-8900",
            "fax_number": "303-442-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 WALNUT ST STE C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012553",
            "telephone_number": "303-443-8900",
            "fax_number": "303-442-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER VALLEY FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "COURTEMANCHE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-443-8900"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "478",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.boulderfootandankle.com",
            "affiliation": "N",
            "endpointDescription": "websit",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3000 Center Green Dr Ste 230",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803012364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Boulder Valley Anesthesiology, PLLC
• Boulder Valley Asthma & Allergy Clinics
• Boulder Valley Asthma & Allergy Clinics, PC
• Boulder Valley Center for Dermatology LLC
• Boulder Valley Ear Nose & Throat Associates PC
• Boulder Valley Gastroenterology Inc.
• Boulder Valley Hearing Associates Inc
• Boulder Valley Orthodontics, PLLC
• Boulder Valley Pathology P C
• Boulder Valley Plastic Surgery Inc.

• Foot & Ankle Surgery Podiatrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.