MR. JAMES RICHARD ANDERSON PA-C NPI 1588057319

NPI Information

NPI: 1588057319
Provider Name: MR. JAMES RICHARD ANDERSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOUTHERN COLORADO CLINIC PC

PECOS Registration: Yes

Address:
3676 PARKER BLVD
PUEBLO, CO
ZIP 81008
Phone: (719) 553-1802
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MR. James Richard Anderson, PA-C is a medical physician assistant in Pueblo, CO with 9 years of experience. MR. James Richard Anderson, PA-C NPI is 1588057319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3676 PARKER BLVD
PUEBLO, CO
ZIP 81008-212
Phone: (719) 553-1802

The NPI 1588057319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2015 and was last updated on 12/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA.0004455	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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