Collin Wooldridge, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005531 Issued in CO

Practice address

1420 W Midway Blvd
Broomfield, CO 80020-2090

Phone

(303) 466-1866

NPI assigned

Oct 6, 2016

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

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

Interoperability endpoints

• Direct secure messaging: collin.wooldridge.p1@direct.aaspire.nextgenshare.com

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.

• Northern Medical Associates

  • Family Medicine Physician
  • Broomfield, CO
  • NPI 1770507360
  Medicare reassignment

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1801346408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-466-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202090",
            "telephone_number": "303-466-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "COLLIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexanderia Virginia Wolfe
• Tammy Wolfe, PT
• Deborah Leah Wood, PHARMACIST
• Lauren Wood
• Jessica M Woods, LCSW
• Roy Wortham
• Jutta Worwag, M.D.
• Brett John Woslager, DPT
• Theresa Woytek
• Christine M Wrabetz, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.