Individual provider Active NPI

Sara A Guldin, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1497065254
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004216 Issued in CO
Practice address
11750 W. 2ND Place Suite 100
Lakewood, CO 80228
Phone
(303) 430-2700
Fax
(303) 430-2770
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054680 PA
Physician Assistant 363A00000X PA.0004216 CO Primary

Addresses

Primary practice location

11750 W. 2ND Place Suite 100
Lakewood, CO 80228

Mailing address

7951 E. Maplewood Avenue Suite 300
Greenwood Village, CO 80111
Phone (303) 930-7800

Other identifiers 1

IdentifierTypeStateIssuer
14836815MedicaidCO

Other names 1

  • Sara A Crosier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150625001689 CO Practitioner - Physician Assistant 2860674736 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004216COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers, LLP CurrentSince Feb 9, 2015 Accepting new patients
Rocky Mountain Cancer Centers LLP Physician Assistant CurrentSince Feb 9, 2015 Accepting new patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Locations

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

1601 E 19th Ave
Ste 3000
Denver, CO 80218
Phone (303) 388-4876

7951 E Maplewood Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 930-7800

11750 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-8280

11750 W 2nd Pl
Ste 100
Lakewood, CO 80228
Phone (303) 430-2700

11750 W 2nd Pl
Ste 160
Lakewood, CO 80228
Phone (303) 430-2700

Organizations & group practices 3

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1497065254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E. MAPLEWOOD AVENUE SUITE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 W. 2ND PLACE SUITE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80228",
            "telephone_number": "303-430-2700",
            "fax_number": "303-430-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULDIN",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054680",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14836815",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "CROSIER",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.