Zach Amdurer
Individual provider Active NPI Physician Assistant · Wheat Ridge, CO
NPI 1679008940 · NPPES record last updated Jun 9, 2023
Key facts
- NPI
- 1679008940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0005019 (CO)
- Practice address
- 8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4342 - Phone
- (303) 403-3670
- Fax
- (303) 403-6489
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Intermountain Medical Group Denver LLC
Practice addresses (Care Compare)
Broomfield, CO 80021
Phone (720) 807-4461
8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370
Hospital & facility affiliations
- Intermountain Health Lutheran Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211214002653 | CO | Practitioner - Physician Assistant | 3375817950 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005019 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Family Medicine | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
8550 W 38th Ave
Ste 220
Wheat Ridge, CO 80033
Phone (303) 403-3670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005019 | CO | Yes |
Addresses
Primary practice location
8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4342
Mailing address
8550 W 38TH Ave Ste 220
Wheat Ridge, CO 80033-4342
Phone (303) 403-3670
Other providers in Wheat Ridge, CO
- Alpine Physical Therapy and Sports Performance
- Jessica Taboada Alsip
- Rebecca Althouse
- Altitude Physical Therapy & Sports Medicine LLC
- Amanda Amador
- Amelia Powers LCSW LLC
- America'S Best Home Care, Inc.
- Amethyst Acupuncture LLC
- Christina Amparan
- Cynthia Anaya
All providers in Wheat Ridge, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.