NPI Code Details Logo

NPI 1225904212

NPI 1225904212 : CHRISTOPHER DIMATTEO PA-C, MPH : AURORA, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225904212
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHRISTOPHER DIMATTEO PA-C, MPH
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/15/2025
-----------------------------------------------------
    Last Update Date     |    10/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1800 S POTOMAC ST 
-----------------------------------------------------
    City                 |    AURORA
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80012-5430
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-353-0506
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    105 WATERWILLOW RD 
-----------------------------------------------------
    City                 |    WEST CHESTER
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    19380-2110
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    484-667-0841
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363AM0700X
-----------------------------------------------------
    Taxonomy Name        |    Medical Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.