Active NPI
David James Catron, PA
- Physician Assistant
- Pinehurst, NC
National Provider Identifier
1396017828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001006871
- Practice address
- 5 Firstvillage Drive
Pinehurst, NC 28374 - Phone
- (910) 295-6831
- NPI assigned
- Jan 30, 2012
- 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 | 001006871 | NC | Primary |
| Physician Assistant | 363A00000X | 1103276 | CO |
Addresses
Primary practice location
5 Firstvillage Drive
Pinehurst, NC 28374
Mailing address
6360 Okinawa Dr
Fort Carson, CO 80902-3220
Phone (910) 308-6537
Other practice location 1
6360 Okinawa Dr
Fort Carson, CO 80902-3220
Phone (910) 308-6537
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 |
|---|---|---|---|
| 1103276 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1396017828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6360 OKINAWA DR",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809023220",
"telephone_number": "910-308-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FIRSTVILLAGE DRIVE",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28374",
"telephone_number": "910-295-6831"
}
],
"practiceLocations": [
{
"address_1": "6360 Okinawa Dr",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809023220",
"country_code": "US",
"telephone_number": "910-308-6537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CATRON",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001006871",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1103276",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.