Raymond J Pelland, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2086 Issued in CO

Practice address

1335 Phay Ave
Ste D
Canon City, CO 81212-2349

Phone

(719) 269-8820

Fax

(719) 204-0230

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104822162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45606 W US HIGHWAY 50",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812128249",
            "telephone_number": "719-276-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 PHAY AVE",
            "address_2": "STE D",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122349",
            "telephone_number": "719-269-8820",
            "fax_number": "719-204-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLAND",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kristin Payne, RDN
• Peak Vision Canon City Prof, LLC
• Basil Eugene Pearson, D.C.
• Lisa G Pearson, DNAP, CRNA, NSPMC
• Pediatric Associates of Canon City, Prof. LLC
• Jody L Pendleton, LPC
• Phyllis A Pennington, DO
• Paula M. Peterson, LMT, MSOM
• Carol J Pfaffly, PHD
• William Robert Pierce

• Physician Assistant in Canon City, CO
• Providers in Canon City, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.