Provider Demographics
NPI:1578745519
Name:CERCHIA, RACHEL J (PA)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:J
Last Name:CERCHIA
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 N CIRCLE DR
Mailing Address - Street 2:STE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1182
Mailing Address - Country:US
Mailing Address - Phone:719-473-3332
Mailing Address - Fax:719-570-9030
Practice Address - Street 1:3010 N CIRCLE DR
Practice Address - Street 2:STE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1182
Practice Address - Country:US
Practice Address - Phone:719-473-3332
Practice Address - Fax:719-570-9030
Is Sole Proprietor?:No
Enumeration Date:2007-12-01
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2535363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP00750759OtherRR MEDICARE
CO16204280Medicaid