Active NPI
Mark Colloton, PA
- Physician Assistant
- Westminster, CO
National Provider Identifier
1619195393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 337
- Practice address
- 9035 Wadsworth Pkwy
Suite 3000
Westminster, CO 80021-8634 - Phone
- (303) 422-7677
- Fax
- (303) 042-2602
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 337 | CO | Primary |
Addresses
Primary practice location
9035 Wadsworth Pkwy
Suite 3000
Westminster, CO 80021-8634
Mailing address
9035 Wadsworth Pkwy
Suite 3000
Westminster, CO 80021-8634
Phone (303) 422-7677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337 | Other | CO | STATE OF COLORADO LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619195393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9035 WADSWORTH PKWY",
"address_2": "SUITE 3000",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800218634",
"telephone_number": "303-422-7677",
"fax_number": "303-042-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9035 WADSWORTH PKWY",
"address_2": "SUITE 3000",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800218634",
"telephone_number": "303-422-7677",
"fax_number": "303-042-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLOTON",
"first_name": "MARK",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO LICENSE",
"identifier": "337",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
- Drew Bernard Colagrosso, DC
- Mary Grace Colburn, PTA
- Brittany Coleman, BCBA
- Sur Rae Coleman, LPCC
- Elise Colley, LPC, ATR
- Eivi Colmenero-Chavez, RN
- Colorado ABA Therapy
- Colorado Bilingual Speech Therapy, LLC
- Colorado Dental Orthodontist Practice, PLLC (Sage Orthodontics)
- Colorado Dental Professionals, LLC (Standley Shores Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.