Anthony Kyle Carcella

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0002333 Issued in CO

Practice address

4747 Arapahoe Ave
Boulder, CO 80303

Phone

(303) 415-7000

Fax

(303) 306-7753

NPI assigned

Oct 18, 2006

Last updated

Aug 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Anthony K. Carcella Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley View Hospital Association

  dba After Hours Urgent Care at Valley View

  • Urgent Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1790397008
  Medicare reassignment NPD
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1659354637
  Medicare reassignment
• Carepoint Emergency Medicine, PLLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1134590318
  Medicare reassignment
• Valley View Hospital Association

  dba Valley View Hospital Professional Services

  • Emergency Care Clinic/Center
  • Glenwood Springs, CO
  • NPI 1114654795
  Medicare reassignment
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1083212989
  NPD
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Lafayette, CO
  • NPI 1407454317
  NPD
• Colorado West Healthcare System

  dba Canyon View Plastic Surgery

  • Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1205239555
  NPD
• Pathology Assoc of the Roaring Fork

  • Anatomic Pathology & Clinical Pathology Physician
  • Glenwood SPGS, CO
  • NPI 1386624203
  NPD
• Valley View Hospital Association

  dba Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Carbondale, CO
  • NPI 1457235202
  NPD
• Valley View Hospital Association

  dba Surgeons at Valey View

  • Surgery Physician
  • Glenwood SPGS, CO
  • NPI 1518353218
  NPD
• Valley View Hospital Association

  • General Acute Care Hospital
  • Glenwood Springs, CO
  • NPI 1982668133
  NPD
• Big Thompson Medical Group Inc

  • Family Medicine Physician
  • Loveland, CO
  • NPI 1720011786

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1699856377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173894",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173894",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-415-7000",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Potomac St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125411",
            "country_code": "US",
            "telephone_number": "303-695-2628",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 S Potomac St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125411",
            "country_code": "US",
            "telephone_number": "303-695-2628",
            "fax_number": "303-306-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARCELLA",
        "first_name": "ANTHONY",
        "middle_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2333",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00399431",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84289279",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "CARCELLA",
            "middle_name": "K.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Rey Gabriel Bonje Carandang, DDS
• Caravita Health LLC
• Judith C Cardell, LPC
• Jason Cardoso
• Page Cardoza
• Care Link Corporation
• Carepoint Inpatient Blue Sky Neurology PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.