MEDICARE: MICHAEL JAMES ORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	53682	CA
2	363A00000X	Physician Assistant	PA.0006141	CO

General Provider Information

NPI Number	:	1982051199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JAMES ORRIS

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4439
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 E 29TH ST STE 102
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2746
Country	:	US
Telephone Number	:	970-624-5150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2016
Last Update Date	:	04/23/2025

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Directions to “ MICHAEL JAMES ORRIS ” Practice Location

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