NPI 1609586403 · Anesthesiology Assistant · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
GREENWOOD VILLAGE, 80111
Freshness: Unknown
Network Status
Listed with 3 carriers
DORA License
No license data
Medicare
Not enrolled in Medicare (PECOS)
136 beneficiaries
$13,493.68 total payment
Specialty: Anesthesiology Assistant
Care Compare
Address mismatch with NPPES
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Limited carrier network presence
2 networks across 2 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.