Samuel Joseph Colgate, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0005207 Issued in CO

Practice address

3555 Lutheran Pkwy Ste 340
Wheat Ridge, CO 80033-6039

Phone

(303) 996-6005

Fax

(303) 420-8831

NPI assigned

Jan 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sam Colgate Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1578061834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9931 E 26TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383013",
            "telephone_number": "918-924-0400",
            "fax_number": "303-420-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 340",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336039",
            "telephone_number": "303-996-6005",
            "fax_number": "303-420-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLGATE",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0005207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "COLGATE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Molly R Cohen
• Cole Vision Corporation
• Miranda L Cole, PHARMD, BCPP
• Elainna Coleman, LCSW
• Michael Kristian Coley
• Roxana Colin
• Ashley Collins
• Bonnie Collins, LCSW
• Monica M Collins
• Colorado Center for Arthritis and Osteoporosis

• Physician Assistant in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.