CHARLES WILLETT (NPI# 1700439874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700439874 |
| Entity Type | Individual |
| Full Name | CHARLES WILLETT |
| Credential | PA-C |
| Practice Address |
9399 Crown Crest Blvd Ste 220 Parker CO 80138-8508 |
| Practice Telephone | 3038051855 |
| Mailing Telephone | 3038051855 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9399 CROWN CREST BLVD STE 220 |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891864781 | Debra Kay Lopez | Surgery | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2006-11-07 |
| 1699158477 | Lauren Elizabeth Whitsitt | Physician Assistant | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2015-06-30 |
| 1679993349 | Eliza Kassai Moskowitz | Surgery | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2014-04-22 |
| 1821384959 | Tyler Chan | Surgery | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2011-06-27 |
| 1437475266 | Robert Bruce Weir Jr. | Surgery | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2010-04-19 |
| 1487776993 | Jeffrey Nolan Harr | Surgery | 9399 Crown Crest Blvd Ste 220, Parker, CO 80138-8508 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912139650 | Bridger Cook | Physician Assistant | 10733 Kimball St, Parker, CO 80134-7616 | 2009-08-13 |
| 1609047851 | Charles Ryan Santaniello | Physician Assistant | 11255 Kilberry Way, Parker, CO 80134-3077 | 2008-03-17 |
| 1922107994 | Gerald Thomas Crenshaw | Physician Assistant | 20895 Omaha Ave, Parker, CO 80138-3100 | 2006-09-22 |
| 1962933622 | Surgery In Motion | Physician Assistant | 7512 Forest Bend Dr, Parker, TX 75002-6823 | 2017-03-24 |
| 1669871265 | Bariatric and Metabolic Center of Colorado | Physician Assistant | 9397 Crown Crest Blvd Ste 440, Parker, CO 80138-8789 | 2014-08-19 |
| 1891129326 | Michele Kathleen Cox | Physician Assistant | 12230 Lioness Way, Parker, CO 80134 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
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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.