Individual provider Active NPI

Erin Carol Cheng, PA-C

  • Medical Physician Assistant
  • Thornton, CO
National Provider Identifier
1730439399
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0003518 Issued in CO
Practice address
1181 E 120TH Ave Unit a
Thornton, CO 80233-5729
Phone
(303) 673-1500
Fax
(303) 689-6664
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0003518 CO Primary

Addresses

Primary practice location

1181 E 120TH Ave Unit a
Thornton, CO 80233-5729

Mailing address

1181 E 120TH Ave Unit a
Thornton, CO 80233-5729
Phone (303) 673-1500

Other identifiers 1

IdentifierTypeStateIssuer
14475341MedicaidCO

Other names 1

  • Ms. Erin Carol Stratton 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
I20121031000550 CO Practitioner - Physician Assistant 2365692662 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0003518COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 31, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 31, 2017 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Jul 21, 2013 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Jul 21, 2013 Accepting new patients

Locations

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

1181 E 120th Ave
Unit A
Thornton, CO 80233
Phone (303) 673-1500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1730439399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 E 120TH AVE UNIT A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335729",
            "telephone_number": "303-673-1500",
            "fax_number": "303-689-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 E 120TH AVE UNIT A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335729",
            "telephone_number": "303-673-1500",
            "fax_number": "303-689-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "ERIN",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0003518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14475341",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "STRATTON",
            "middle_name": "CAROL",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.