Active NPI
Boulder Valley Anesthesiology, PLLC
- Anesthesiology Physician
- Boulder, CO
National Provider Identifier
1962431668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 32750
- Legal business name
- BOULDER VALLEY ANESTHESIOLOGY, PLLC
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303-1131 - Phone
- (303) 415-7000
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Layne, MD
- Title
- President
- Phone
- (303) 415-2532
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32750 | CO | Primary |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303-1131
Mailing address
PO Box 3206
Indianapolis, IN 46206-3206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29820871 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000375 | CO | Part B Supplier - Clinic/Group Practice | 7113830993 |
Receives reassigned benefits from 93 practitioners Practice locations: Layfayette, CO; Westminster, CO; Longmont, CO; Englewood, CO; Boulder, CO |
National Provider Directory
National Provider DirectoryLocations
3445 Penrose Pl
Ste 140
Boulder, CO 80301
Phone (303) 413-0100
1136 Alpine Ave
Boulder, CO 80304
Phone (303) 938-5470
10170 Church Ranch Way
Westminster, CO 80021
Phone (303) 328-3400
Practitioners & affiliated clinicians
Practitioners 106
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Fort Collins, CO
- NPI 1144257312
Anesthesiology, CO
-
- Anesthesiology Physician
- Boulder, CO
- NPI 1982630521
Anesthesiology, CO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1962431668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3206",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031131",
"telephone_number": "303-415-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOULDER VALLEY ANESTHESIOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "LAYNE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-415-2532",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CO",
"license": "32750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29820871",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
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- Boulder Therapuetics
- Boulder Valley Asthma & Allergy Clinics
- Boulder Valley Asthma & Allergy Clinics, PC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.