Molly Colleen McCabe, PA-C
Individual provider Active NPI Medical Physician Assistant · Lakewood, CO
NPI 1316299092 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1316299092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA.0003550 (CO)
- Practice address
- 165 S. Union Blvd.
Ste #800
Lakewood, CO 80228 - Phone
- (303) 988-2680
- Fax
- (303) 986-8057
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140416000021 | CO | Practitioner - Physician Assistant | 9133351604 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0003550 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Service Physicians, Inc. | Current |
Accepting new patients |
Locations
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Interoperability endpoints
- molly.mccabe.1@13869.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0003550 | CO | Yes |
Addresses
Primary practice location
165 S. Union Blvd.
Ste #800
Lakewood, CO 80228
Mailing address
1707 Cole Blvd.
Ste #100
Golden, CO 80401
Phone (303) 716-8018
Other providers in Lakewood, CO
- Leslie A. MC Cowan
- Anne Christine McAdoo
- Bruce C McArthur
- Kellie K McBride
- Angel Mary McCabe
- Bonnie Belinda McCafferty
- Allison McCallister
- McCallum Physical Therapy P.C.
- Chelsea Lynn McCann
- Janet McCann
All providers in Lakewood, CO · Medical Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.