NPI 1104373497 · Physician Assistant · Uhc
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
TABERNASH, 80478
Freshness: Unknown
Network Status
Listed with 7 carriers
DORA License
No license data
Medicare
Enrolled but no billing activity
Care Compare
Address mismatch with NPPES
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
7 networks across 3 carriers
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.