Andrew Statz, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

38125 Routt County Road 53
Hayden, CO 81639-0744

Phone

(224) 388-0139

NPI assigned

Nov 12, 2015

Last updated

Mar 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1467825463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816390744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38125 ROUTT COUNTY ROAD 53",
            "city": "HAYDEN",
            "state": "CO",
            "postal_code": "816390744",
            "telephone_number": "224-388-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATZ",
        "first_name": "ANDREW",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Colorado Visiting Nurse Association (Northwest Colorado Health)
• Pediatrics of Steamboat Springs, PC
• Colton Wade Roesener, D.C.
• Root to Rise Counseling Colorado
• Routt County School District Re-1
• Steamboat Medical Partners PC (Steamboat Medical Group)
• West Routt Fire Protection District
• West Routt Rural Health Council (The Haven)
• Yampa Valley Medical Center
• Yampa Valley Medical Center

• Surgical Physician Assistant in Hayden, CO
• Providers in Hayden, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.