Provider Demographics
NPI:1386636975
Name:CHOBOT, JOANNA K (PA)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:K
Last Name:CHOBOT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:221 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2620
Mailing Address - Country:US
Mailing Address - Phone:303-789-2251
Mailing Address - Fax:303-789-2505
Practice Address - Street 1:221 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2620
Practice Address - Country:US
Practice Address - Phone:303-789-2251
Practice Address - Fax:303-789-2505
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1312363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P29812Medicare UPIN
802769Medicare PIN