Thomas E Shonka
Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1400 28th St Suite 2
Boulder
, Colorado 80303-1096
Thomas E Shonka
Sports Medicine Foot & Ankle Surgery Primary Podiatric Medicine
1400 28th St Suite 2
Boulder
, Colorado 80303-1096
(303) 449-9475
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About
Features
Specialties
- Primary Podiatric Medicine
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Thomas E Shonka
- 1400 28th St Suite 2
- Boulder, CO
- Zip : 80303-1096
- Fax : (303) 449-9475
- Phone : (303) 449-2000
Second Address
- Thomas E Shonka
- 1400 28th St Suite 2
- Boulder, CO
- Zip : 80303-1096
- Fax : (303) 449-9475
- Phone : (303) 449-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | CO335 | CO |
| Y | 2081S0010X | Sports Medicine | CO335 | CO |
| Y | 213ES0000X | Sports Medicine | CO335 | CO |
| N | 213ES0103X | Foot & Ankle Surgery | CO335 | CO |
National Provider Identifier
| NPI | 1013929660 |
|---|---|
| Provider Name | Thomas E Shonka |
| First Address | Boulder, CO 80303-1096 |
| Second Address | Boulder, CO 80303-1096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 17/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01003359 | (05) | CO |
| 841514106 002 | ROCKY MNT HEALTH PLANS (01) | CO |
| 841514106 03 | PACIFICARE PROVIDER # (01) | CO |
| SH36054 | BCBS PROVIDER # (01) | CO |
| T60234 | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.