JACQUELINE A. FITCH (NPI# 1477545069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477545069 |
| Entity Type | Individual |
| Full Name | JACQUELINE A. FITCH |
| Other Name | JACQUELINE A. FITCH |
| Practice Address |
10101 Ridgegate Parkway Lone Tree CO 80124-9810 |
| Mailing Address |
Po Box 173862 Denver CO 80217-3862 |
| Practice Telephone | 7202251900 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0000888 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
888 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE | P00302399 | 01 |
| CO | 37729578 | 05 |
| Street Address |
10101 RIDGEGATE PARKWAY |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-9810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201120 | Cary Gossett Walker | Student in an Organized Health Care Education/Training Program | 10101 Ridgegate Parkway, Lone Tree, CO 80124 | 2015-04-06 |
| 1740556745 | Christina Julia Yannetsos | Emergency Medicine | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2012-03-24 |
| 1417163536 | Matthew Charles Grzegozewski | Emergency Medicine | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2007-05-15 |
| 1477670958 | Christopher James Mccarthy | Physician Assistant | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2007-03-22 |
| 1811064454 | Sarah Lynette Normandin | Emergency Medicine | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-11-29 |
| 1407889405 | Aaron J. Van Hook-drucker | Physician Assistant | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-07-10 |
| 1811942071 | Andrew N. Ramirez | Physician Assistant | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-05-24 |
| 1295786838 | Mark E. Maertins | Emergency Medicine | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-05-15 |
| 1467430850 | Elizabeth N. Gray | Physician Assistant | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-01-05 |
| 1144208513 | Eric A. Lung | Emergency Medicine | 10101 Ridgegate Parkway, Lone Tree, CO 80124-9810 | 2006-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922570621 | Heather Aynsley Mcbryde | Physician Assistant | 10463 Park Meadows Dr Ste 110, Lone Tree, CO 80124-5317 | 2018-12-19 |
| 1396228102 | Erica Cathleen Borresen | Physician Assistant | 10375 Park Meadows Dr Ste 270, Lone Tree, CO 80124-6760 | 2018-09-09 |
| 1093003154 | Sarah Neguse | Physician Assistant | 9695 S. Yosemite St., Ste # 324, Lone Tree, CO 80124 | 2011-07-11 |
| 1164615985 | Michelle Lynn Martin | Physician Assistant | 10103 Ridgegate Pkwy #623, Lone Tree, CO 80124 | 2007-08-24 |
| 1407973266 | Tara Mendozza Decrescentis | Physician Assistant | 10099 Ridgegate Pkwy Ste 480, Lone Tree, CO 80124-5537 | 2007-03-24 |
| 1841234515 | Tim R Johnson | Physician Assistant | 9777 S Yosemite St Ste 220, Lone Tree, CO 80124-3115 | 2006-06-15 |
| 1548204472 | Lisa Louise Ellsworth | Physician Assistant | 10103 Ridgegate Pkwy Ste G01, Lone Tree, CO 80124-5521 | 2006-06-14 |
| 1508807041 | Jonathan Hugh Churchill | Physician Assistant | 10103 Ridgegate Pkwy Ste 306, Lone Tree, CO 80124-5525 | 2006-06-08 |
| 1225091788 | Kelly Ann Peters | Physician Assistant | 10103 Ridgegate Pkwy 312, Lone Tree, CO 80124-5525 | 2006-04-07 |
| 1730177536 | Heather Mae Haug | Physician Assistant | 109 W Jayne St, Uihc Lone Tree Family Practice, Lone Tree, IA 52755-0417 | 2005-10-06 |
| Find all providers in LONE TREE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.