NPIMap

Individual provider Active NPI

Marissa Erin Moritz-Guzik, MS, PA-C

  • Physician Assistant
  • Louisville, CO
National Provider Identifier
1457669772
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005555 Issued in CO
Practice address
80 Health Park Dr
Louisville, CO 80027-9584
Phone
(303) 269-2085
Fax
(303) 269-2089
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA.0005555 CO Primary

Addresses

Primary practice location

80 Health Park Dr
Louisville, CO 80027-9584

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other practice location 1

11900 Grant St Ste 360
Northglenn, CO 80233-1117
Phone (303) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
9000168190MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211000151 CO Practitioner - Physician Assistant 4183864051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

80 Health Park Dr
Louisville, CO 80027-9584
Phone (303) 925-4060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005555COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Nov 1, 2020 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2020 Accepting new patients
Boulder Valley Gastroenterology Inc. Gastroenterology CurrentSince Dec 1, 2018 Accepting new patients
Cascade Summit Family Practice PC Past Accepting new patients
Northglenn Endoscopy Center LLC Past Accepting new patients

Locations

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

80 Health Park Dr
Ste 270
Louisville, CO 80027
Phone (303) 269-2085

382 S Arthur Ave
Unit 140
Louisville, CO 80027

382 S Arthur Ave
Unit 100
Louisville, CO 80027

382 S Arthur Ave
Louisville, CO 80027

80 Health Park Dr
Louisville, CO 80027
Phone (303) 269-2085

11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630

7233 Church Ranch Blvd
Westminster, CO 80021
Phone (303) 925-4137

Interoperability endpoints

  • Direct secure messaging: m.moritz-guzik@gastrorockies.directbygreenway.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1457669772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-269-2085",
            "fax_number": "303-269-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11900 Grant St Ste 360",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802331117",
            "country_code": "US",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORITZ-GUZIK",
        "first_name": "MARISSA",
        "middle_name": "ERIN",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000168190",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.