Active NPI
Zachary Goren, PA-C
- Medical Physician Assistant
- Aurora, CO
National Provider Identifier
1902248255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0005081
- Practice address
- 14111 E Alameda Ave Ste 200
Aurora, CO 80012-2509 - Phone
- (303) 343-1357
- NPI assigned
- Jul 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | PA.0005081 | CO | |
| Medical Physician Assistant | 363AM0700X | C0005146 | MD | |
| Medical Physician Assistant | 363AM0700X | PA.0005081 | CO | Primary |
Addresses
Primary practice location
14111 E Alameda Ave Ste 200
Aurora, CO 80012-2509
Mailing address
14111 E Alameda Ave Ste 200
Aurora, CO 80012-2509
Phone (301) 704-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0005081 | CO | MD | Medical Physician Assistant |
| C0005146 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Urgent Care, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Aurora, CO
- NPI 1396706693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1902248255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14111 E ALAMEDA AVE STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800122509",
"telephone_number": "301-704-6557",
"fax_number": "301-220-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 E ALAMEDA AVE STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800122509",
"telephone_number": "303-343-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREN",
"first_name": "ZACHARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-26",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CO",
"license": "PA.0005081",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0005146",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0005081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.