NPI 1710463765 · Physician Assistant · Anthem
Strong multi-source corroboration of active practice across 6 carrier networks with confirmed Colorado DORA license.
NPPES
GOLDEN, 80403
Freshness: Unknown
Network Status
Listed with 6 carriers
DORA License
Active
Medicare
73 services
38 beneficiaries
$2,606.36 total payment
Specialty: Physician Assistant
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
Active Colorado DORA license confirmed
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
6 networks across 4 carriers
Strong network presence across 6 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.