BRIAN KEVIN ELDER (NPI# 1275604514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275604514 |
| Entity Type | Individual |
| Full Name | BRIAN KEVIN ELDER |
| Credential | PA-C |
| Practice Address |
473 Castle Pines Ave Ste 1 Johnstown CO 80534-7859 |
| Mailing Address |
6801 W 20th St Suite 101, Attn: Susan Pinckney,credentialing Greeley CO 80634-9637 |
| Practice Telephone | 9705877881 |
| Practice Fax Number | 9705877738 |
| Mailing Telephone | 9703788000 |
| Mailing Fax Number | 9703788088 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003611 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
TL404 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PHYSICIAN ASSISTANT | PA.0002611 | 01 |
| Street Address |
473 CASTLE PINES AVE STE 1 |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-7859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942399134 | Cara E. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| 1952490153 | John M. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752470 | Brooke Lynn Rhoades | Physician Assistant | 322 Warren St Ste 300, Johnstown, PA 15905-3443 | 2018-06-06 |
| 1114467677 | Erika George | Physician Assistant | 516 Indiana St, Johnstown, PA 15905-2315 | 2017-03-03 |
| 1538290614 | Colleen Shaw | Physician Assistant | 400 N Perry St, Johnstown, NY 12095-1115 | 2007-03-08 |
| 1043316870 | Thomas J Destefano | Physician Assistant | 429 Industrial Park Dr, Pbg Health and Wellness Center, Johnstown, PA 15904 | 2006-09-16 |
| 1538190996 | Meghan Bolinger | Physician Assistant | 598 Galleria Dr, Johnstown, PA 15904-8900 | 2006-07-05 |
| 1639167604 | Francis Buddy Legath | Physician Assistant | 1118 Club Dr, Johnstown, PA 15905-1914 | 2005-10-12 |
| 1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
| 1487134938 | Tayler Orion Sechrengost | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2018-08-15 |
| 1649764853 | Angela Marie Beahr | Physician Assistant | 374 Theatre Dr, Johnstown, PA 15904 | 2018-06-20 |
| 1619460722 | Jeremy M. Sotosky | Physician Assistant | 350 Budfield St, Johnstown, PA 15904-3214 | 2018-06-13 |
| Find all providers in JOHNSTOWN | ||||
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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.