Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nathan Roesner, DO

Individual provider Surgery Physician · NPI 1598886483

Dr. Nathan Roesner, DO is a Plastic and Reconstructive Surgery in Boulder, Colorado. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Colorado and Michigan.

Years since qualifying
21
Licensed in
CO, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2595 Canyon Blvd Ste 360
Boulder, CO 80302-6745
Phone: (303) 440-7546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 50492 (CO)
Surgery Physician Taxonomy 208600000X · Licence 5101017089 (MI)

Record details

NPI number1598886483
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021
Mailing address11700 W 2nd Pl, Medical Plaza 2 Ste 210, Lakewood, CO 80228-1704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated

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