Individual provider Active NPI

Phillip Jared Smith, PA-C

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1609584770
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007573 Issued in CO
Practice address
5620 S Parker Rd
Aurora, CO 80015-1110
Phone
(303) 593-9800
Fax
(303) 593-9795
NPI assigned
Nov 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA.0007573 CO Primary

Addresses

Primary practice location

5620 S Parker Rd
Aurora, CO 80015-1110

Mailing address

2570 Wynterbrook Dr
Highlands Ranch, CO 80126-4519
Phone (720) 421-5133

Other practice location 1

4140 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 637-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221215003163 WY Practitioner - Physician Assistant 1153790050 Reassigns benefits to 1 organization
I20240506001913 CO Practitioner - Physician Assistant 1153790050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

11339 S Pikes Peak Dr
Parker, CO 80138-7333
Phone (720) 588-4000

17575 Green Valley Ranch Blvd
Denver, CO 80249-7988
Phone (303) 583-4490

5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890

7120 E County Line Rd
Highlands Ranch, CO 80126-3926
Phone (720) 446-5891

7600 W Quincy Ave
Littleton, CO 80123-2403
Phone (720) 449-8062

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Horizons Inc PastSince Nov 1, 2022 Accepting new patients

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1609584770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 WYNTERBROOK DR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801264519",
            "telephone_number": "720-421-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 S PARKER RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151110",
            "telephone_number": "303-593-9800",
            "fax_number": "303-593-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Laramie St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011969",
            "country_code": "US",
            "telephone_number": "307-637-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PHILLIP",
        "middle_name": "JARED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.