MR. JONATHAN GRAVGAARD PA-C NPI 1952787764

NPI Information

  • NPI: 1952787764
  • Provider Name: MR. JONATHAN GRAVGAARD, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3630 SINTON RD STE 100
    COLORADO SPRINGS, CO
    ZIP 80907
  • Phone: (719) 359-8812

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NPI Details

MR. Jonathan Gravgaard, PA-C is a medical physician assistant in Colorado Springs, CO with 10 years of experience. MR. Jonathan Gravgaard, PA-C NPI is 1952787764. 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:

3630 SINTON RD STE 100
COLORADO SPRINGS, CO
ZIP 80907-072
Phone: (719) 359-8812

The NPI 1952787764 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 8/4/2015 and was last updated on 3/20/2024.

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
1363AM0700XPhysician AssistantMedical2396SOUTH CAROLINANo
2363AM0700XPhysician AssistantMedicalPA.0004875COLORADOYes
3363A00000XPhysician AssistantNo

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: 3/30/2025

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