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Deactivated NPI 1033378567 Deactivated / Inactive NPI Male Practitioner

Dr. Max Russell Greenlee , MD

Dermatology • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Max Greenlee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2008
NPI Deactivation Date June 12, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Max Greenlee, MD was a registered Dermatology practicing in Boulder, CO. Throughout an active medical career spanning 17 years, Dr. Greenlee provided care at the practice location at 870 JUNIPER AVE until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

870 Juniper Ave

Boulder, CO 803041724

Telephone 3034423425
Fax 3034423425

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
19 Specialists

Practicing in Boulder, CO (321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License CO 12715

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active June 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2008

Registered at 870 JUNIPER AVE, BOULDER, CO 803041724 (Tel: 3034423425)

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Updated Business Mailing Address June 09, 2008

Registered at 870 JUNIPER AVE, BOULDER, CO 803041724 (Tel: 3034423425)

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Provider Name / Credentials Updated June 09, 2008

Recorded as MAX GREENLEE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2008

Dermatology (License #12715 in CO)

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Initial NPI Registration & Enumeration June 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033378567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: June 09, 2008
Deactivation Date: June 12, 2025

Mailing Address

870 Juniper Ave

Boulder, CO 803041724

Phone: 3034423425

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.