Individual provider Active NPI

Paula Elizbaeth Vasichko

  • Gynecology Physician
  • Denver, CO
National Provider Identifier
1508355975
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
DR.0069486 Issued in CO
Practice address
10405 Martin Luther King Blvd
Denver, CO 80238-2398
Phone
(303) 393-4330
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X DR.0069486 CO Primary
Obstetrics & Gynecology Physician 207V00000X DR.0069486 CO
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

10405 Martin Luther King Blvd
Denver, CO 80238-2398

Mailing address

70 W Lafayette Cir
Memphis, TN 38111-3420
Phone (281) 221-7929

Other practice location 1

70 W Lafayette Cir
Memphis, TN 38111-3420
Phone (281) 221-7929

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114000845 CO Practitioner - Obstetrics/Gynecology 2466709845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

10405 Martin Luther King Blvd
Suite 110
Denver, CO 80238-2399
Phone (303) 320-7747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Nov 14, 2022 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1400 S Potomac St
Ste 225
Denver, CO 80012
Phone (303) 563-2782

10405 Martin Luther King Blvd
Ste 110
Denver, CO 80238
Phone (303) 320-7747

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: paula.vasichko@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1508355975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W LAFAYETTE CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113420",
            "telephone_number": "281-221-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10405 MARTIN LUTHER KING BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382398",
            "telephone_number": "303-393-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 W Lafayette Cir",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381113420",
            "country_code": "US",
            "telephone_number": "281-221-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASICHKO",
        "first_name": "PAULA",
        "middle_name": "ELIZBAETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CO",
            "license": "DR.0069486",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0069486",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.