NPI 1134186687 · Physician Assistant - Surgical · Anthem
Moderate evidence supports active practice with 9 carrier network listings and verified licensure.
NPPES
WHEAT RIDGE, 80033
Freshness: Unknown
Network Status
Listed with 10 carriers
DORA License
Active
Medicare
Enrolled but no billing activity
Care Compare
Address mismatch with NPPES
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint
Single address source (NPPES)
Listed in multiple carrier networks
9 networks across 4 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.
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes