NPI 1669891933 · Physician Assistant · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
THORNTON, 80229
Freshness: Unknown
Network Status
Listed with 3 carriers
DORA License
No license data
Medicare
24 services
17 beneficiaries
$146.02 total payment
Specialty: Physician Assistant
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)
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.