Amelia Sagun, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1124 E Elizabeth St Ste C
Fort Collins, CO 80524-4051

Phone

(970) 484-0798

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: asagun270204@direct.childrenscolorado.org
• Direct secure messaging: amelia.sagun.d1.p1@direct.rockymtnfamilyphys.nextgenshare.com

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Greenwood Pediatrics PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1619013448
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1578216032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 GOLDEN PL",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172463",
            "telephone_number": "614-949-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E ELIZABETH ST STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244051",
            "telephone_number": "970-484-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGUN",
        "first_name": "AMELIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Richard Sadowski
• Samira Sadykhova
• Suzanne E Saenz, MD
• Safeway Inc
• Safeway Inc
• Debra Leya Saidman-Ireland, L.AC
• Jennifer O'Neil Sajbel, MS, RD, LD
• Hania H Sakkal
• Catalina Salas
• Isnino Salat, MEDICAL ASSISTANT

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.