Rocky C Engbarth

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0001044 Issued in CO

Practice address

1601 E 19TH Ave Ste 5050
Denver, CO 80218-1200

Phone

(720) 754-2155

Fax

(720) 754-2106

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Western Cardiology Associates

  • Cardiovascular Disease Physician
  • Thornton, CO
  • NPI 1750372504
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1174693154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST",
            "address_2": "STE 380",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105847",
            "telephone_number": "303-778-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 5050",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181200",
            "telephone_number": "720-754-2155",
            "fax_number": "720-754-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGBARTH",
        "first_name": "ROCKY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004817",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0001044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73229873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endocrinology Specialists of Colorado, LLC
• Endoscopy Center at Porter LLC
• Hirut Endris
• Melissa Eng II
• Engage With You LLC
• Niels Engberding, M.D.
• Meseret Lema Engdashet
• Mikiyas Tesfaye Engdashet
• Karen Marie Engebretson, RN
• Brooke Engel

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.