Elizabeth Dawn Dasher, LSA

Individual provider Active NPI Surgical Physician Assistant · Peyton, CO

NPI 1376978031 · NPPES record last updated May 9, 2024

Key facts

NPI
1376978031
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
SA.0002231 (CO)
Practice address
7038 Honeycomb Dr
Peyton, CO 80831-5041
Phone
(970) 371-6277
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SA.0002231COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth D. Dasher, Sa, LLC Surgical Technologist Current
since May 12, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X
Surgical Physician Assistant 363AS0400X SA.0002231 CO Yes

Addresses

Primary practice location

7038 Honeycomb Dr
Peyton, CO 80831-5041

Mailing address

7038 Honeycomb Dr
Peyton, CO 80831-5041
Phone (970) 371-6277

Other identifiers

IdentifierTypeStateIssuer
644274OtherTECH IN SURGERY-CERTIFIED (NCCT)
ST.0001500OtherCOSURGICAL TECHNOLOGIST

Other providers in Peyton, CO

All providers in Peyton, CO · Surgical Physician Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.