MR. JAMES WILLIS SOUTH PA-C NPI 1639149214

NPI Information

NPI: 1639149214
Provider Name: MR. JAMES WILLIS SOUTH, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
175 S UNION BLVD STE 300
COLORADO SPRINGS, CO
ZIP 80910
Phone: (719) 365-1950
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MR. James Willis South, PA-C is a surgical physician assistant in Colorado Springs, CO with 36 years of experience. MR. James Willis South, PA-C NPI is 1639149214. 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:

175 S UNION BLVD STE 300
COLORADO SPRINGS, CO
ZIP 80910-126
Phone: (719) 365-1950
Fax: (719) 365-1951

The NPI 1639149214 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 1/25/2006 and was last updated on 9/21/2016.

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	363AS0400X	Physician Assistant	Surgical	797	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	DAD000	MEDICARE UPIN	COLORADO
2	269864YLB8	MEDICARE PIN	COLORADO
3	03086712	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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