Adam Courchaine, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4256 Issued in CO

Practice address

7200 E Dry Creek Rd Ste G101
Centennial, CO 80112-2574

Phone

(720) 647-7460

Fax

(720) 684-5766

NPI assigned

Jan 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 11, 2019 through Jun 11, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: adam.courchaine@143771024490500.direct.elationemr.com

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1821134644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W COUNTY LINE RD",
            "address_2": "APT 31-202",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296512",
            "telephone_number": "774-219-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E DRY CREEK RD STE G101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122574",
            "telephone_number": "720-647-7460",
            "fax_number": "720-684-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURCHAINE",
        "first_name": "ADAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "4256",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "AP2155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William N. Costas, PSY.D.
• Anna F Cosyleon, MD
• Andrew Christian Cote, D.D.S.
• Kristen Cottingham
• County of Arapahoe
• Dara Courchaine, HEALTH COACH
• Valerie Jean Courisky, O.T.
• Janet Louise Coutts, LPC, CACIII
• Kathy J Coverly, PT
• Barrett E Cowan, M.D.

• Medical Physician Assistant in Centennial, CO
• Providers in Centennial, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.