NPI 1083928014 · Physician Assistant · Anthem
Strong multi-source corroboration of active practice across 9 carrier networks with confirmed Colorado DORA license.
NPPES
LONE TREE, 80124
Freshness: Unknown
Network Status
Listed with 16 carriers
DORA License
Active
Medicare
255 services
165 beneficiaries
$22,592.77 total payment
Specialty: Physician Assistant
Care Compare
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
9 networks across 4 carriers
Strong network presence across 9 carrier networks with corroborating federal activity signals.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.
Address mismatch with NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Showing 20 of 21 evidence events.