Individual provider Active NPI

Laura Weir Danso, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1417296203
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005765 Issued in CO
Practice address
4995 E 33Rd Ave
Denver, CO 80207-1902
Phone
(303) 602-3720
Fax
(303) 602-3733
NPI assigned
Feb 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005765 CO Primary

Addresses

Primary practice location

4995 E 33Rd Ave
Denver, CO 80207-1902

Mailing address

4995 E 33Rd Ave
Denver, CO 80207-1902
Phone (303) 602-3720

Other practice location 1

5675 N Front St
Philadelphia, PA 19120-2719
Phone (215) 279-9666

Other practice location 2

1900 N 9th St
Philadelphia, PA 19122-2024

Other practice location 3

3401 N Broad St Ste D101
Philadelphia, PA 19140-5103
Phone (215) 731-7144

Other practice location 4

1200 Callowhill St Ste 101
Philadelphia, PA 19123-3658
Phone (215) 825-8220

Other practice location 5

125 S 9th St
Philadelphia, PA 19107-5125
Phone (215) 592-4500

Other practice location 6

950 E Van Buren St
Avondale, AZ 85323-1506
Phone (623) 344-6800

Other practice location 7

412 W Lehigh Ave
Philadelphia, PA 19133-3148
Phone (267) 765-2272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160715000785 PA Practitioner - Physician Assistant 0345487864 Reassigns benefits to 1 organization
I20190828003064 CO Practitioner - Physician Assistant 0345487864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005765COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Mangement Corporation CurrentSince Jul 11, 2016 Accepting new patients
Public Health Management Corporation CurrentSince Jul 11, 2016 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Aug 1, 2019 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

4995 E 33rd Ave
Denver, CO 80207
Phone (303) 602-3720

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

3401 N Broad St
Ste D101
Philadelphia, PA 19140
Phone (215) 731-7144

412 W Lehigh Ave
Philadelphia, PA 19133
Phone (215) 425-0124

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

Interoperability endpoints

  • Direct secure messaging: ldanso198454@direct.dhha.org
  • Direct secure messaging: lauradanso@nncc.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1417296203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 E 33RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071902",
            "telephone_number": "303-602-3720",
            "fax_number": "303-602-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 E 33RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071902",
            "telephone_number": "303-602-3720",
            "fax_number": "303-602-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5675 N Front St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191202719",
            "country_code": "US",
            "telephone_number": "215-279-9666",
            "fax_number": "215-279-9674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191222024",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 N Broad St Ste D101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "215-731-7144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Callowhill St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233658",
            "country_code": "US",
            "telephone_number": "215-825-8220",
            "fax_number": "215-825-8254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S 9th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075125",
            "country_code": "US",
            "telephone_number": "215-592-4500",
            "fax_number": "215-592-4326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 E Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853231506",
            "country_code": "US",
            "telephone_number": "623-344-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Lehigh Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191333148",
            "country_code": "US",
            "telephone_number": "267-765-2272",
            "fax_number": "215-426-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSO",
        "first_name": "LAURA",
        "middle_name": "WEIR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.