NPI 1972913242 · Physician Assistant · Anthem
Carrier listings present but Colorado DORA license appears expired or revoked.
NPPES
ENGLEWOOD, 80113
Freshness: Unknown
Network Status
Listed with 6 carriers
DORA License
Inactive
Medicare
232 services
76 beneficiaries
$7,302.91 total payment
Specialty: Physician Assistant
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Active NPI with specialty classification
DORA license expired or revoked
Active Medicare billing confirmed
Single address source (NPPES)
Listed in multiple carrier networks
6 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.