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

Kurt Douglas Noteboom, PA-C, ATC

Individual provider Physician Assistant · NPI 1124135264

Kurt Douglas Noteboom, PA-C, ATC is a Physician Assistant in Louisville, Colorado. Qualified in 1994, 32 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
32
Licensed in
CO, MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

80 Health Park Dr #230
Louisville, CO 80027-9584
Phone: (303) 665-2603
Fax: (303) 665-2605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 738 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 10057 (MN)

Record details

NPI number1124135264
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESJanuary 15, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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