Provider Demographics
NPI:1740580695
Name:HINTZ, RITA D (PA)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:D
Last Name:HINTZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:D
Other - Last Name:SARMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:125 RAMPART WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6406
Mailing Address - Country:US
Mailing Address - Phone:720-858-7600
Mailing Address - Fax:720-858-7615
Practice Address - Street 1:1667 COLE BLVD
Practice Address - Street 2:BLDG 19, SUITE 200
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3300
Practice Address - Country:US
Practice Address - Phone:303-420-3131
Practice Address - Fax:303-420-1984
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11OtherPA LICENSE