Active NPI
Paul Whitney Safford, PHYSICIAN ASSISTANT
- Physician Assistant
- Pueblo, CO
National Provider Identifier
1689793812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1094
- Practice address
- 600 West 16TH St
Pueblo, CO 81003 - Phone
- (719) 542-7222
- NPI assigned
- Mar 28, 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 | 1094 | CO | Primary |
Addresses
Primary practice location
600 West 16TH St
Pueblo, CO 81003
Mailing address
582 Catalina Dr
Colorado Springs, CO 80906-5141
Phone (719) 287-2627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1094 | Other | CO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthews-Vu Medical Group, P.C. | Current | Accepting new patients | |
| Ashok PC | Past | Accepting new patients | |
| Integrity Urgent Care, P.C. | Past | Accepting new patients |
Interoperability endpoints
- paul.safford@corhio.medicity.net
Organizations & group practices 4
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.
-
dba The Family Practice
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1902015860
-
- Internal Medicine Physician
- Colorado Springs, CO
- NPI 1649438433
-
- Urgent Care Clinic/Center
- Colorado Springs, CO
- NPI 1912189788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1689793812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 CATALINA DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809065141",
"telephone_number": "719-287-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WEST 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "81003",
"telephone_number": "719-542-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFFORD",
"first_name": "PAUL",
"middle_name": "WHITNEY",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1094",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.