Active NPI
Eric M Washychyn, PA
- Surgical Physician Assistant
- Denver, CO
National Provider Identifier
1104817519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1335
- Practice address
- 8101 E Lowry Blvd
Suite 260
Denver, CO 80230-7196 - Phone
- (303) 214-4500
- Fax
- (303) 214-4571
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1335 | CO | Primary |
Addresses
Primary practice location
8101 E Lowry Blvd
Suite 260
Denver, CO 80230-7196
Mailing address
8101 E Lowry Blvd
Suite 260
Denver, CO 80230-7196
Phone (303) 214-4500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAQ00 | Other | ID | BLUE CROSS |
| P00172265 | Other | ID | RAILROAD MEDICARE |
| 000010148868 | Other | ID | BLUE SHIELD |
| 000010148866 | Other | ID | BLUE SHIELD |
| PAQP7 | Other | ID | BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1335 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadman Clinic Professional LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Vail, CO
- NPI 1952327835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1104817519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 E LOWRY BLVD",
"address_2": "SUITE 260",
"city": "DENVER",
"state": "CO",
"postal_code": "802307196",
"telephone_number": "303-214-4500",
"fax_number": "303-214-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 E LOWRY BLVD",
"address_2": "SUITE 260",
"city": "DENVER",
"state": "CO",
"postal_code": "802307196",
"telephone_number": "303-214-4500",
"fax_number": "303-214-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHYCHYN",
"first_name": "ERIC",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "1335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PAQ00",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00172265",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148868",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148866",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PAQP7",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.