NPI 1104575703 · Family Medicine · Anthem
Strong multi-source corroboration of active practice across 11 carrier networks with confirmed Colorado DORA license.
NPPES
WESTMINSTER, 80023
Freshness: Aging (last updated 2024-06-11)
634 days since update
Network Status
Listed with 12 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
Address mismatch with NPPES
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
11 networks across 6 carriers
Strong network presence across 11 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.
PECOS Enrollment
No PECOS data
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