Active NPI
Joshua W Burrow, PA
- Physician Assistant
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004892
- Practice address
- 2121 E Harmony Rd
Suite 160
Fort Collins, CO 80528-3400 - Phone
- (970) 482-3328
- Fax
- (970) 482-1433
- NPI assigned
- Aug 28, 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 | 15--01235 | KS | |
| Physician Assistant | 363A00000X | PA.0004892 | CO | Primary |
Addresses
Primary practice location
2121 E Harmony Rd
Suite 160
Fort Collins, CO 80528-3400
Mailing address
2121 E Harmony Rd
Suite 160
Fort Collins, CO 80528-3400
Phone (970) 482-3328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49262505 | Medicaid | CO | |
| 200461130H | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004892 | CO | MD | Physician Assistant |
| 15--01235 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Kansas Spine Anesthesia Corporation PA | Past | Accepting new patients | |
| Cancer Center of Kansas, P.a. | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
2121 E Harmony Rd
Unit 160
Fort Collins, CO 80528
Phone (970) 482-3328
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Hematology & Oncology Physician
- Wichita, KS
- NPI 1841251394
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1265626840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 160",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-482-3328",
"fax_number": "970-482-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 160",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-482-3328",
"fax_number": "970-482-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROW",
"first_name": "JOSHUA",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-28",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15--01235",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49262505",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200461130H",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.