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GERISERVE P C
NPI 1649336967
Physician Assistant - Medical in Lafayette, CO

Active since December 29, 2006
103 SANDLER DR, LAFAYETTE, CO 80026(303) 919-4503(720) 887-4663 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Geriserve P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERISERVE P C (NPI 1649336967) is a healthcare organization registered as a medical in Lafayette, Colorado and active in the NPI registry since December 2006. The organization lists George Gilmore, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649336967
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGERISERVE P C
Location Address103 SANDLER DRLafayette, CO 80026-2536
Mailing Address103 Sandler DrLafayette, CO 80026-2536 · (303) 919-4503 · Fax (720) 887-4663
Phone(303) 919-4503
Fax(720) 887-4663
Organization SubpartNo
Authorized OfficialGeorge GilmoreExecutive Director · (303) 919-4503
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649336967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 788
103 SANDLER DR, Lafayette, CO 80026
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE E GILMORE PA
Emergency Medicine
103 SANDLER DR
LAFAYETTE, CO 80026
Boulder County (303) 919-4503
MONA JEAN GILMORE NP
Nurse Practitioner (Adult Health)
103 SANDLER DR
LAFAYETTE, CO 80026
Boulder County (303) 665-7900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geriserve P C's NPI number?

The NPI number for Geriserve P C is 1649336967. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Geriserve P C located?

Geriserve P C is located at 103 Sandler Dr, Lafayette, CO 80026. The listed phone number is (303) 919-4503.

What is Geriserve P C's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Geriserve P C was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.