Provider Demographics
NPI:1013069566
Name:HELZER, AMITY D (MMS, PA-C)
Entity Type:Individual
Prefix:
First Name:AMITY
Middle Name:D
Last Name:HELZER
Suffix:
Gender:F
Credentials:MMS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 LUTHERAN PKWY STE 100A
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6013
Mailing Address - Country:US
Mailing Address - Phone:303-403-7333
Mailing Address - Fax:303-403-7335
Practice Address - Street 1:3550 LUTHERAN PKWY STE 100A
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6013
Practice Address - Country:US
Practice Address - Phone:303-403-7333
Practice Address - Fax:303-403-7335
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1541363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA108026Medicare PIN