Individual provider Active NPI

Margaret I Gasienica, PAC

  • Medical Physician Assistant
  • Englewood, CO
National Provider Identifier
1063841104
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0003829 Issued in CO
Practice address
499 E Hampden Ave Ste 220
Englewood, CO 80113-2792
Phone
(303) 783-8844
Fax
(303) 783-2002
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0003829 CO Primary

Addresses

Primary practice location

499 E Hampden Ave Ste 220
Englewood, CO 80113-2792

Mailing address

499 E Hampden Ave Ste 220
Englewood, CO 80113-2792
Phone (303) 783-8844

Other identifiers 1

IdentifierTypeStateIssuer
PA0003829OtherCOCOLORADO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0003829COMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1063841104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132792",
            "telephone_number": "303-783-8844",
            "fax_number": "303-783-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E HAMPDEN AVE STE 220",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132792",
            "telephone_number": "303-783-8844",
            "fax_number": "303-783-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASIENICA",
        "first_name": "MARGARET",
        "middle_name": "I",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0003829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "PA0003829",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.