Physician Anesthesia Services PC
Organization Active NPI Anesthesiology Physician · Golden, CO
NPI 1861476590 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1861476590
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- PHYSICIAN ANESTHESIA SERVICES PC
- Practice address
- 12911 W 40TH Ave
Golden, CO 80401-2696 - Phone
- (330) 321-6552
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Andrew P. Buchholz
- Title
- President
- Phone
- (303) 425-4500
Practitioners 183
-
Peter Abromaitis, M.D.
-
Leighton Anderson, CRNA
-
Sanjay K Arora, M D
-
Ralph Ascione, CRNA
-
Arielle Elizabeth Bauer, M.D.
-
Kian Bidanjiri, DO
-
Travis Birchem, CRNA
-
Alison Brainard, MD
-
Jennifer L Brant, CRNA
-
Daniel J Bredar, M D
-
Zachary Waldon Bryan, M.D.
-
Andrew P. Buchholz, M.D.
-
Andrew Tadeusz Burzynski, M.D.
-
Dustin M Crull, NP
-
Clifton A Daniels, M D
-
Craig Richard Davis, M.D.
-
Jennifer B De Gortari, CRNA
-
Lisa Dettmer, CRNA
-
Jennifer Devine, CRNA
-
Amy Diane Diorio, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040723000048 | CO | Part B Supplier - Clinic/Group Practice | 7517947146 |
Receives reassigned benefits from 161 practitioners Practice locations: Westminster, CO; Wheat Ridge, CO; Superior, CO; Lone Tree, CO; Golden, CO; Denver, CO; Lakewood, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
12911 W 40TH Ave
Golden, CO 80401-2696
Mailing address
12911 W 40TH Ave
Wheat Ridge, CO 80401-2696
Phone (425) 407-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ5051 | Other | CO | RAILROAD MEDICARE |
| 04013108 | Medicaid | CO |
Other providers in Golden, CO
- Kaitlin Pfister-Minogue
- Phase 3 LLC
- John Phillips
- Lee Phillips
- Phyllis P Phillips
- Physio Pro, Inc.
- Physiotherapy Associates Inc
- Physiotherapy Associates, Inc.
- Nikki Piazza
- Jaclyn Piccone
All providers in Golden, CO · Anesthesiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.