NPIMap

Organization Active NPI

Physician Anesthesia Services PC

  • Anesthesiology Physician
  • Golden, CO
National Provider Identifier
1861476590
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 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
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Andrew P. BuchholzNPI 1801831649
Title
President
Phone
(303) 425-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

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 2

IdentifierTypeStateIssuer
04013108MedicaidCO
CQ5051OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

3 Superior Dr
Ste 301
Superior, CO 80027
Phone (443) 738-2889

Practitioners & affiliated clinicians

Practitioners 184

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 184

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1861476590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "804012696",
            "telephone_number": "425-407-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 W 40TH AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012696",
            "telephone_number": "330-321-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ANESTHESIA SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-425-4500"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013108",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ5051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.