BOULDER VALLEY GASTROENTEROLOGY INC.
NPI 1720674955
Internal Medicine - Gastroenterology in Boulder, CO
NPI Status: Active since December 11, 2020
Contact Information
1755 48TH ST STE 100
BOULDER, CO
ZIP 80301
Phone: (303) 604-5000
- Organization
- Internal Medicine
- Gastroenterology
- CLIA Number: 06D0514895
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About BOULDER VALLEY GASTROENTEROLOGY INC.
This page provides the complete NPI Profile along with additional information for Boulder Valley Gastroenterology Inc., an internist established in Boulder, Colorado operating as a Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1720674955 assigned on December 2020. The practitioner's primary taxonomy code is 207RG0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Daus Mahnke (Md)
- NPI
- 1720674955
- Provider Name
- BOULDER VALLEY GASTROENTEROLOGY INC.
- Entity Type
- Organization
- Location Address
- 1755 48TH ST STE 100 BOULDER, CO 80301
- Location Phone
- (303) 604-5000
- Mailing Address
- 382 S ARTHUR AVE LOUISVILLE, CO 80027
- Mailing Phone
- (303) 604-5000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-11-2020
- Last Update Date
- 12-11-2020
- Code Navigator
An internist like Boulder Valley Gastroenterology Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 06D0514895
- Facility Type
- Physician Office
- Certificate Effective Date
- May 16, 2021
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- DR. BRITT SEVERSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Boulder Valley Gastroenterology Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 6 | 7 | 4 | 9 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 12 | 7 | 8 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 1 + 2 + 7 + 8 + 9 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1720674955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023109360 | MS. JANICE ANDREA MONTOYA PA C Individual | Physician Assistant (Medical) | 1755 48TH ST STE 100 BOULDER, CO 80301 (720) 932-7714 |
| 1417980038 | DR. JOEL R MONTBRIAND M.D., F.A.C.P. Individual | Internal Medicine (Gastroenterology) | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
| 1447343843 | RICHARD H. MOSELEY M.D. Individual | Internal Medicine (Gastroenterology) | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
| 1427430032 | MARISSA LEE FAHRBACH Individual | Nurse Anesthetist, Certified Registered | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
| 1952793846 | KELLY ZUCKER D.O Individual | Internal Medicine (Gastroenterology) | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
| 1407632870 | BRITTANY PROPOGGIO PA-C Individual | Physician Assistant | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
| 1114332020 | MS. VICTORIA M EVELYN PA Individual | Physician Assistant (Medical) | 1755 48TH ST STE 100 BOULDER, CO 80301 (303) 604-5000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720674955, enumerated in the NPI registry as an "organization" on December 11, 2020
The provider is located at 1755 48th St Ste 100 Boulder, Co 80301 and the phone number is (303) 604-5000
This medical organization specializes in Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider's CLIA number is 06D0514895 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on December 11, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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