Alyssa Jeanne Clore, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA0004380 Issued in CO

Practice address

12631 E 17TH Ave
Suite 6006
Aurora, CO 80045-2527

Phone

(541) 531-1705

NPI assigned

Jul 11, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Alyssa Jeanne Miller Former 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

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.

• Sofi Research, LLC

  dba Institute of Esophageal and Reflux Surgery

  • Surgery Physician
  • Lone Tree, CO
  • NPI 1659890036
  Medicare reassignment
• Advanced Surgery Colorado PLLC

  • Surgery Physician
  • Lone Tree, CO
  • NPI 1619760626
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760681688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 E 17TH AVE",
            "address_2": "SUITE 6006",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452527",
            "telephone_number": "541-531-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 E 17TH AVE",
            "address_2": "SUITE 6006",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452527",
            "telephone_number": "541-531-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLORE",
        "first_name": "ALYSSA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA01245",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA0004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MILLER",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clinton Home Care, Inc.
• Alexander Nicholas Clinton
• Shantel S Clinton
• Samantha Clopper, M.A., LPC
• Rachel Gabrielle Clopton, MD
• Closer to Home LLC
• Huong Nguyen Closmann, D.D.S.
• James Joseph Closmann, DDS
• Samuel Gregory Cloud, MD
• Mackenzie Anne Clough, LPC

• Surgical Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.