Individual provider Active NPI

Erin D Marvin, P.A-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1720016082
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2222 Issued in CO
Practice address
7887 E Belleview Ave
Suite 1100
Englewood, CO 80111-6015
Phone
(303) 703-9151
Fax
(303) 835-0025
NPI assigned
Jun 28, 2006
Last updated
Jun 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2222 CO Primary

Addresses

Primary practice location

7887 E Belleview Ave
Suite 1100
Englewood, CO 80111-6015

Mailing address

7887 E Belleview Ave
Suite 1100
Englewood, CO 80111-6015
Phone (303) 703-9151

Other names 1

  • Erin D Bollig Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000359 CO Practitioner - Physician Assistant 1052314564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10680 Del Mar Pkwy
Aurora, CO 80010-4011
Phone (303) 360-6276

15132 E Hampden Ave
Suite G
Aurora, CO 80014-5038
Phone (303) 360-6276

9801 E Colfax Ave
Suite 120
Aurora, CO 80010-2155
Phone (303) 360-6276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2222COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince May 1, 2024 Accepting new patients
Metro Community Provider Network Inc CurrentSince May 1, 2024 Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

7495 W 29th Ave
Wheat Ridge, CO 80033
Phone (303) 239-9964

Organizations & group practices 3

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1720016082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE",
            "address_2": "SUITE 1100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116015",
            "telephone_number": "303-703-9151",
            "fax_number": "303-835-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7887 E BELLEVIEW AVE",
            "address_2": "SUITE 1100",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116015",
            "telephone_number": "303-703-9151",
            "fax_number": "303-835-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "ERIN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BOLLIG",
            "middle_name": "D",
            "credential": "P.A-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.