| Colorado Sleep Institute | |
|
4895 Riverbend Rd Suite 220 Boulder CO 80301-2640 | |
| (720) 279-9098 | |
| Not Available |
| Full Name | Colorado Sleep Institute |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4895 Riverbend Rd, Boulder, Colorado |
| Authorized Official Name and Position | Mark Hickey (PRESIDENT) |
| Authorized Official Contact | 7202799098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Sleep Institute 4895 Riverbend Rd Suite 220 Boulder CO 80301-2640 Ph: (720) 279-9098 | Colorado Sleep Institute 4895 Riverbend Rd Suite 220 Boulder CO 80301-2640 Ph: (720) 279-9098 |
| NPI Number | 1649502295 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 11/25/2015 |
| Medicare PECOS PAC ID | 8325178775 |
|---|---|
| Medicare Enrollment ID | O20100610000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649502295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | DR-48317 (Colorado) | Primary |
| Provider Name | Mark G Hickey |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063480499 PECOS PAC ID: 3870646607 Enrollment ID: I20100610000646 |
| Provider Name | Evelyn Y Bolt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003076159 PECOS PAC ID: 1456546506 Enrollment ID: I20141024000450 |
| Provider Name | David Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831193630 PECOS PAC ID: 8022116151 Enrollment ID: I20150225000422 |
| Provider Name | Anthony S Barber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376747444 PECOS PAC ID: 6406012962 Enrollment ID: I20151008000677 |
| Provider Name | Ivy M Andersen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013064997 PECOS PAC ID: 8527155050 Enrollment ID: I20160505000234 |
| Provider Name | Bogdan Strambu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427366723 PECOS PAC ID: 9830337500 Enrollment ID: I20190617001285 |
| Provider Name | Eduardo J Onate |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699036681 PECOS PAC ID: 5294034815 Enrollment ID: I20190809001085 |
| Provider Name | Kevin Branch |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1437539475 PECOS PAC ID: 4385933803 Enrollment ID: I20200429002685 |
| Provider Name | Nicole O'malley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558775486 PECOS PAC ID: 3779889845 Enrollment ID: I20210805002730 |
| Provider Name | Conrad Kozlowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710479399 PECOS PAC ID: 1355721341 Enrollment ID: I20220708000424 |
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