Joel T Michalak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004524 Issued in CO

Practice address

1701 W 72ND Ave
Denver, CO 80221-2721

Phone

(303) 650-4460

Fax

(303) 546-4000

NPI assigned

Oct 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Clinica Campesina Family Health Services

  • Clinic/Center
  • Lafayette, CO
  • NPI 1225025406
  Medicare reassignment
• Clinica Campesina Family Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longmont, CO
  • NPI 1558109223
  NPD
• Ashit K Vijapura MD PA

  • Psychiatry Physician
  • Plant City, FL
  • NPI 1154517068
  NPD (past)

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1699103564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 203",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 72ND AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802212721",
            "telephone_number": "303-650-4460",
            "fax_number": "303-546-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052827",
            "country_code": "US",
            "telephone_number": "303-312-9735",
            "fax_number": "303-312-9737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 W 72nd Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802212721",
            "country_code": "US",
            "telephone_number": "303-650-4460 x1061",
            "fax_number": "720-206-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 S Public Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800267093",
            "country_code": "US",
            "telephone_number": "303-650-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8510 Bryant St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313844",
            "country_code": "US",
            "telephone_number": "303-650-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8990 Washington St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294537",
            "country_code": "US",
            "telephone_number": "303-650-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JOEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009964900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael V. Ladwig, M.D., P.C.
• Ryan Alexander Michael, DPT, PT
• Carol Marie Michaels, LPC CACII
• Thomas Frost Michaels, PH.D.
• Lindsey Michal, LPC
• Kathryn Ann Michalek, RN
• Robert Hill Michals, D.C.
• Zach Michalski
• Erica Helen Michaud, FNP
• Melissa Marie Michaud, LPC

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.

Verify at the official NPI Registry.