NPI 1396148151 · live from the CMS NPI Registry
Timothy Ahearne, PA-C
Physician Assistant, Medical in Aurora, CO. National Provider Identifier 1396148151, active.
NPI record
| NPI | 1396148151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 12605 E 16th Ave, Aurora, CO 80045 |
| Practice phone | 720-848-0000 |
| Mailing address | 10103 Ridgegate Pkwy, Suite 112, Lone Tree, CO 80124 |
| Enumerated | October 7, 2014 |
| Last updated | December 27, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 085-005266 (IL) |
| Physician Assistant, Medical primary | 363AM0700X | PA.0004736 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.