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Deactivated NPI 1891829107 Deactivated / Inactive NPI Male Practitioner

Douglas Richard Walsh , PHYSICIAN ASSISTANT-

Physician Assistant • Aurora, CO

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Douglas Walsh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2007
NPI Deactivation Date January 28, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Douglas Walsh, PHYSICIAN ASSISTANT- was a registered Physician Assistant practicing in Aurora, CO. Throughout an active medical career spanning 15 years, Douglas Walsh provided care at the practice location at 1360 S POTOMAC ST until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1360 S Potomac St

Aurora, CO 800124505

Telephone 3033375575
Fax 3037456264
Associated Practice Facility / Clinic
🏢 Mauricio Waintrub, M.d., P.c Facility NPI 1336172774

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Aurora, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
285 Specialists

Practicing in Aurora, CO (3810 Statewide)

Telehealth Adoption Rate
17.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA-2996

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Chad Lucci , PA-C

Physician Assistant

NPI 1023261963

Physician Assistant (Certified)

Dr. Herman Hasselkus , MD

Internal Medicine - Geriatric Medicine

NPI 1053481382

Doctor of Medicine (M.D.)

Julia Constantine , PA-C

Physician Assistant

NPI 1083286934

Physician Assistant (Certified)

David Cook , PA

Internal Medicine

NPI 1144316183

Physician Assistant

Travis Jones , PA

Physician Assistant

NPI 1164505343

Physician Assistant

Amber Gillard

Physician Assistant

NPI 1174171946

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
⚠️
NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 19, 2017

Registered at 8671 S QUEBEC ST, STE 130, HIGHLANDS RANCH, CO 801305860 (Tel: 3032227149)

📍
Updated Practice Location July 19, 2017

Registered at 1360 S POTOMAC ST, AURORA, CO 800124505 (Tel: 3033375575)

👤
Provider Name / Credentials Updated July 19, 2017

Recorded as DOUGLAS WALSH, PHYSICIAN ASSISTANT-

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Physician Assistant (License #PA-2996 in CO)

NPI Profile Active July 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2012

Registered at 1360 S POTOMAC ST, AURORA, CO 800124505 (Tel: 3033375575)

📍
Updated Business Mailing Address July 26, 2012

Registered at 1360 S POTOMAC ST, AURORA, CO 800124505 (Tel: 3033375575)

👤
Provider Name / Credentials Updated July 26, 2012

Recorded as DOUGLAS WALSH, PHYSICIAN ASSISTANT-

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2012

Physician Assistant (License #PA-2996 in CO)

🟢
Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891829107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: July 26, 2012
Deactivation Date: January 28, 2022

Mailing Address

1360 S Potomac St

Aurora, CO 800124505

Phone: 3033375575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.