Provider Demographics
NPI:1235433608
Name:CARTER, AARON T (PA)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:T
Last Name:CARTER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:
Other - Last Name:CARTER-LAROCQUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:433 S ALLISON PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-3133
Mailing Address - Country:US
Mailing Address - Phone:303-989-4307
Mailing Address - Fax:
Practice Address - Street 1:433 S ALLISON PKWY
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3133
Practice Address - Country:US
Practice Address - Phone:303-989-4307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-29
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0003649363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO66000513Medicaid
CO026807OtherKAISER COMMERCIAL NUMBER
CO446611YK5YMedicare PIN