Provider Demographics
NPI:1124157250
Name:LAYFIELD, MICHAEL G (PA-C)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:G
Last Name:LAYFIELD
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT D100
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5117
Mailing Address - Country:US
Mailing Address - Phone:303-205-1090
Mailing Address - Fax:303-205-1120
Practice Address - Street 1:1300 S POTOMAC ST STE 104
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4526
Practice Address - Country:US
Practice Address - Phone:303-671-5553
Practice Address - Fax:303-671-2790
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2013-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1844363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84286318Medicaid
CO84286318Medicaid
COQ42560Medicare UPIN