Individual provider Active NPI

Sharon Bahrych, PA

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1629094966
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
791 Issued in CO
Practice address
14707 E 2ND Ave Ste 150
Aurora, CO 80011-8914
Phone
(720) 400-8935
Fax
(720) 216-1934
NPI assigned
Jul 13, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 791 CO Primary

Addresses

Primary practice location

14707 E 2ND Ave Ste 150
Aurora, CO 80011-8914

Mailing address

14707 E 2ND Ave Ste 150
Aurora, CO 80011-8914
Phone (720) 400-8935

Other practice location 1

516 E. Nizhoni Blvd.
Gallup, NM 87301-1337
Phone (505) 722-1000

Other practice location 2

516 E. Nizhoni Blvd.
Gallup, NM 87301-1337
Phone (505) 722-1000

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
791COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Primary Care P C PastSince Oct 28, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629094966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 E 2ND AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118914",
            "telephone_number": "720-400-8935",
            "fax_number": "720-216-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 E 2ND AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118914",
            "telephone_number": "720-400-8935",
            "fax_number": "720-216-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 E. Nizhoni Blvd.",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873011337",
            "country_code": "US",
            "telephone_number": "505-722-1000",
            "fax_number": "505-726-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 E. Nizhoni Blvd.",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873011337",
            "country_code": "US",
            "telephone_number": "505-722-1000",
            "fax_number": "505-726-8671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRYCH",
        "first_name": "SHARON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.