Active NPI
Gary Scofield, PA
- Physician Assistant
- Littleton, CO
National Provider Identifier
1174649396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4258
- Practice address
- 20 W Dry Creek Cir
Suite 100
Littleton, CO 80120-4478 - Phone
- (303) 798-1009
- Fax
- (303) 798-1324
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10334 | CA | |
| Physician Assistant | 363A00000X | 4258 | CO | Primary |
Addresses
Primary practice location
20 W Dry Creek Cir
Suite 100
Littleton, CO 80120-4478
Mailing address
5080 Spectrum Dr
Suite 1200 West
Addison, TX 75001-4648
Phone (972) 364-8000
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 |
|---|---|---|---|
| PA10334 | CA | MD | Physician Assistant |
| 4258 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1174649396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 SPECTRUM DR",
"address_2": "SUITE 1200 WEST",
"city": "ADDISON",
"state": "TX",
"postal_code": "750014648",
"telephone_number": "972-364-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W DRY CREEK CIR",
"address_2": "SUITE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801204478",
"telephone_number": "303-798-1009",
"fax_number": "303-798-1324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOFIELD",
"first_name": "GARY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10334",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "4258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.