Amanda Masek Doetsch, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2164 Issued in CO

Practice address

777 29TH St Ste 301
Boulder, CO 80303-2316

Phone

(303) 440-8243

Fax

(303) 440-0292

NPI assigned

Jan 27, 2006

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

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 2

Other names 1

• Amanda Masek Doetsch Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.doetsch.1@23501.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New West Physicians Inc

  • Internal Medicine Physician
  • Golden, CO
  • NPI 1427010859
  Medicare reassignment
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment
• Big Thompson Emergency Physicians, PC

  • Emergency Medicine Physician
  • Loveland, CO
  • NPI 1598365330

  Physician Assistant

  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Frisco, CO
  • NPI 1255967345
  NPD
• Usacs of Colorado Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1720614217
  NPD
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Lafayette, CO
  • NPI 1407454317
  NPD (past)
• Longs Peak Emergency Physicians, PC

  • Emergency Medicine Physician
  • Longmont, CO
  • NPI 1215910146
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1972574002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 29TH ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032316",
            "telephone_number": "303-440-8243",
            "fax_number": "303-440-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 29TH ST STE 301",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032316",
            "telephone_number": "303-440-8243",
            "fax_number": "303-440-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOETSCH",
        "first_name": "AMANDA",
        "middle_name": "MASEK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00728529",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77656369",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DOETSCH",
            "middle_name": "MASEK",
            "credential": "P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John R Dodge, DMD,MS
• William Harold Dodson III, MD
• Ethan Doe
• Hannah Doenlen
• Tracy Doering
• Dirk Dolbeare, MD
• Barbora Dolejsova
• Julie Elisabeth Dolin, MA, LPC, BC-DMT
• Denise S Dollar, LCSW
• Annette L Donaghy, ANNETTE DONAGHY, MA

• Physician Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.