ANDREW DAVID DAVALT (NPI# 1164445185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164445185 |
| Entity Type | Individual |
| Full Name | ANDREW DAVID DAVALT |
| Credential | PAC |
| Practice Address |
3277 S Lincoln St Englewood CO 80113 |
| Mailing Address |
10350 E Dakota Ave Denver CO 80247-1314 |
| Practice Telephone | 3037620808 |
| Practice Fax Number | 3037629292 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 2257 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE | PA 2257 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3277 S Lincoln St, Englewood, CO 801132512 | 3037620808 | 3037629292 |
| Street Address |
3277 S LINCOLN ST |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043297377 | John G Spranger | Physician Assistant | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2005-12-28 |
| 1407406804 | Cherry Creek Welllness Center, Inc | Physical Therapist | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2019-09-17 |
| 1629568662 | Maria Victoria Buethe | Counselor | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2018-05-15 |
| 1194214791 | Brittany Schmidli | Counselor | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2018-05-09 |
| 1245731140 | New Health Pain Treatment Centers, LLC | General Practice | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2018-02-26 |
| 1447656772 | Osvaldo Cabral | Counselor | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2014-11-13 |
| 1952500134 | Kevin Robert Schmidt | Physical Medicine & Rehabilitation | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2007-07-17 |
| 1487692745 | George A Frey | Orthopaedic Surgery | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2006-06-02 |
| 1497793699 | Thomas C Sanders | Physician Assistant | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2006-06-02 |
| 1265470454 | Michael W Hutchins | Anesthesiology | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782346 | Summit Surgical Services | Physician Assistant | 2068 E Floyd Pl, Englewood, CO 80113-3129 | 2015-02-05 |
| 1497856686 | Jeffrey Garner | Physician Assistant | 4548 S Bannock St, Englewood, CO 80110-5706 | 2006-09-26 |
| 1043297377 | John G Spranger | Physician Assistant | 3277 S Lincoln St, Englewood, CO 80113-2512 | 2005-12-28 |
| 1366862013 | Rachel Stadler | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-04-21 |
| 1871916361 | Kristina Scheerer | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2014-02-04 |
| 1669743035 | Courtney J Woodhull | Physician Assistant | 350 Engle St, Englewood, NJ 07631-1808 | 2012-01-18 |
| 1003119736 | Megan Nora Cronin | Physician Assistant | 701 E Hampden Ave, #515, Englewood, CO 80113-2736 | 2010-12-20 |
| 1508167669 | Erin Michelle Moreau | Physician Assistant | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2010-11-05 |
| 1205064250 | Sarah Monchar | Physician Assistant | 309 Engle St, Suite 6, Englewood, NJ 07631-1824 | 2009-06-29 |
| 1144478884 | Kandice Michelle Rosemond | Physician Assistant | 350 Engle St, Englewood, NJ 07631-1808 | 2008-09-07 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.