Active NPI
Sara A Guldin, PA
- Physician Assistant
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004216
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14836815 | Medicaid | CO |
Other names 1
- Sara A Crosier
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004216 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Cancer Centers, LLP | Current | Accepting new patients | |
| Rocky Mountain Cancer Centers LLP | Physician Assistant | Current | Accepting new patients |
| Khalid Chowdhury MD, PC | Past | 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.
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- NPI 1518941186
CO, Physician Assistant
-
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- Longmont, CO
- NPI 1538762760
-
- Facial Plastic Surgery Physician
- Denver, CO
- NPI 1457502940
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.