Sarah Rose Dathe, PA-S
Individual provider Active NPI Physician Assistant · Lakewood, CO
NPI 1871065706 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1871065706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 11750 W 2ND PL Ste 360
Lakewood, CO 80228-1756 - Phone
- (720) 473-7120
- Fax
- (720) 400-8562
- NPI assigned
- Dec 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acute Care Surgery Medical Group Inc
Practice addresses (Care Compare)
11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 473-7120
11750 W 2ND PL
Suite 360
Lakewood, CO 80228-1756
Phone (720) 473-7120
Hospital & facility affiliations
- Centura Health-St Anthony Hospital
- Middle Park Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200402003778 | CO | Practitioner - Physician Assistant | 8123457769 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current |
Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Current |
Accepting new patients | |
| Denver Health and Hospital Authority | Current |
Accepting new patients |
Locations
777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714
777 Bannock St
Denver, CO 80204
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
11750 W 2nd Pl
Ste 360
Lakewood, CO 80228
Phone (720) 321-8470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
11750 W 2ND PL Ste 360
Lakewood, CO 80228-1756
Mailing address
6575 Zang St
Arvada, CO 80004-2237
Phone (720) 257-8832
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sdathe221622@direct.dhha.org | Health Information Exchange (HIE) |
Other providers in Lakewood, CO
- Elisa Marie Dannemiller
- Caleb H Dansky
- Christopher L Daprato
- Kristin Dascanio
- Kamran Dastoury
- Brittney Davenport
- David Hope Mitchell Dba Jacob House
- Audrei Renee Davidson
- Courtney Davidson
- Joyce M Davidson
All providers in Lakewood, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.