Boulder Plastic Surgery Prof LLC
Boulder Plastic Surgery Prof LLC is a healthcare organization registered as Specialist in Longmont, CO, holding Type 2 (organization) NPI 1114513009 since 2020. The authorized official on file is Pam Garcia, Office Contact.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114513009 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boulder Plastic Surgery Prof LLC |
| Practice address | 1750 E KEN PRATT BLVD, Longmont, CO, 80504 |
| Phone | 7207187000 |
| Enumeration date | 2020-12-15 |
| Last updated in NPPES | 2020-12-15 |
Authorized official
| Name | Pam Garcia |
|---|---|
| Title | Office Contact |
| Phone | 3034432277 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Copy-ready billing details
Provider: Boulder Plastic Surgery Prof LLC NPI: 1114513009 Taxonomy: 174400000X (Specialist) Address: 1750 E KEN PRATT BLVD, Longmont, CO, 80504
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518954866 | Konoy Mandal | Individual | Psychiatry Physician | Longmont, CO |
| 1538149638 | Kelli Janata | Individual | Pulmonary Disease Physician | Longmont, CO |
| 1316927411 | Robert Janata | Individual | Pulmonary Disease Physician | Longmont, CO |
| 1093784357 | Anita Ritenour | Individual | Internal Medicine Physician | Longmont, CO |
| 1982665071 | John Cowden | Individual | Pulmonary Disease Physician | Longmont, CO |
| 1578513693 | John Even | Individual | Internal Medicine Physician | Longmont, CO |
| 1477591436 | United Pathology Services PC | Organization | Clinic/Center | Longmont, CO |
| 1396778015 | Luciano Lemos Filho | Individual | Critical Care Medicine (Internal Medicine) Physician | Longmont, CO |
Verify this record
Cross-check NPI 1114513009 against the authoritative CMS record: view Boulder Plastic Surgery Prof LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Boulder Plastic Surgery Prof LLC?
What is the NPI number for Boulder Plastic Surgery Prof LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-15.