Individual provider Active NPI

Helene G Desmarais, PA

  • Surgical Physician Assistant
  • Littleton, CO
National Provider Identifier
1922082676
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1582 Issued in CO
Practice address
11378 W Radcliffe Dr
Littleton, CO 80127-1077
Phone
(303) 257-4224
Fax
(303) 287-7357
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1582 CO Primary

Addresses

Primary practice location

11378 W Radcliffe Dr
Littleton, CO 80127-1077

Mailing address

11378 W Radcliffe Dr
Littleton, CO 80127-1077
Phone (303) 257-4224

Other identifiers 1

IdentifierTypeStateIssuer
55678866MedicaidCO

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

LicenseStateTypeSpecialty
1582COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
HGD Surgical PA Services, Inc. Surgical Past Accepting new patients
Colorado Orthopedic Specialists Past Accepting new patients
Surgone, PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1922082676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11378 W RADCLIFFE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271077",
            "telephone_number": "303-257-4224",
            "fax_number": "303-932-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11378 W RADCLIFFE DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271077",
            "telephone_number": "303-257-4224",
            "fax_number": "303-287-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARAIS",
        "first_name": "HELENE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "1582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55678866",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.