MR. ROBERT AARON PREVATT


Address: 88 Inverness Cir E Unit J105, Englewood, CO 80112-5527
Phone: 3037991600

MR. ROBERT AARON PREVATT (NPI# 1780933978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780933978
Entity Type Individual
Full Name MR. ROBERT AARON PREVATT
Credential PA-C
Practice Address 88 Inverness Cir E Unit J105
Englewood
CO 80112-5527
Mailing Address 11154 Huron St Ste 212
Northglenn
CO 80234-2329
Practice Telephone 3037991600
Practice Fax Number 3034524625
Mailing Telephone 3039205161
Mailing Fax Number 3034524625
Enumeration Date 2012-09-04
Last Update Date 2019-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11154 Huron St Ste 212, Northglenn, CO 802342329 3039205161 3034524625
1536 Cole Blvd Ste 250, Lakewood, CO 804013426 3039205161 3034524625

Office Location

Street Address 88 INVERNESS CIR E UNIT J105
City ENGLEWOOD
State CO
Zip Code 80112-5527

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1376038240 Elizabeth Ann Dickason Physician Assistant 9094 East Mineral Avenue, #100, Englewood, CO 80112 2018-06-24
1770075467 Dry Creek Surgery Center, LLC Clinic/Center 125 Inverness Dr E Ste 150, Englewood, CO 80112 2018-05-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184221624 Jamie Marie Shriver Physician Assistant 15859 E Jamison Dr Apt 19308, Englewood, CO 80112-4681 2020-10-07
1104472679 Lee K Maloney Physician Assistant 9570 S Kingston Ct Ste 100, Englewood, CO 80112-6004 2019-08-12
1376038240 Elizabeth Ann Dickason Physician Assistant 9094 East Mineral Avenue, #100, Englewood, CO 80112 2018-06-24
1669963146 Deborah G. Aragon Physician Assistant 6229 S. Iola Wy, Englewood, CO 80111 2018-05-21
1780110445 Amanda Lewis Physician Assistant 6086 S Iola Way, Englewood, CO 80111-5705 2017-05-02
1649703307 Tina Marie Jacobs Physician Assistant 304 Inverness Way S Ste 312, Englewood, CO 80112-5826 2017-04-09
1134662992 Orli Feder Physician Assistant 60 E Linden Ave, Apt: 5a, Englewood, NJ 07631-3667 2016-11-28
1700258415 Jenna Lynn Easton Physician Assistant 3511 S Clarkson St # 80113, Englewood, CO 80113-3916 2015-10-21
1013257385 Carolyn Edlund Physician Assistant 699 S Indiana Ave, Englewood, FL 34223-3705 2013-02-25
1861640807 Dana Mchale Physician Assistant 9785 Maroon Cir, Suite G-104, Englewood, CO 80112-5919 2008-09-03
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Competitor

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City ENGLEWOOD
Zip Code 80112

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Dataset Information

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.

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