Edward Kollasch, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

226 Issued in CO

Practice address

1160 Patterson Rd
Grand Junction, CO 81506-8275

Phone

(970) 244-2800

Fax

(970) 255-6291

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• St Mary'S Hospital and Medical Center, Inc

  • Hematology & Oncology Physician
  • Grand Junction, CO
  • NPI 1275714081
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1902882897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815020062",
            "telephone_number": "970-244-2894",
            "fax_number": "970-255-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PATTERSON RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068275",
            "telephone_number": "970-244-2800",
            "fax_number": "970-255-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLASCH",
        "first_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07002264",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Remmington D Kohpay, BA, CAT
• Amy Jean Kolari, PHARMD
• Carolyn Marie Kolenc
• Dawn C Kolkman, MSPT
• Krista Kolkovich, MSN APRN FNP-C
• Jamie Dee Kopfman, PA-C
• Stephanie Leah Korn
• Kathryn Faye Kossa, PT
• Kasey J Kostelecky
• Cheryl Marie Koubeck, LCSW

• Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.