MRS. MARILYN ANN GANDOLPH PHYSICIAN ASSISTANT
NPI 1154388148
Physician Assistant - Medical in Louisville, CO
NPI Status: Active since April 26, 2006
Contact Information
325 W S BOULDER RD STE 101
LOUISVILLE, CO
ZIP 80027
Phone: (720) 519-1596
Fax: (720) 542-9408
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About MARILYN GANDOLPH
This page provides the complete NPI Profile along with additional information for Marilyn Gandolph, a primary care provider established in Louisville, Colorado with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1154388148 assigned on April 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 3015 (CO). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1154388148
- Provider Name
- MRS. MARILYN ANN GANDOLPH PHYSICIAN ASSISTANT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 325 W S BOULDER RD STE 101 LOUISVILLE, CO 80027
- Location Phone
- (720) 519-1596
- Location Fax
- (720) 542-9408
- Mailing Address
- 325 W S BOULDER RD STE 101 LOUISVILLE, CO 80027
- Mailing Phone
- (720) 519-1596
- Mailing Fax
- (720) 542-9408
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-26-2006
- Last Update Date
- 03-17-2018
- Code Navigator
A primary care provider (PCP) like Marilyn Gandolph sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 400 East Simpson St. Suite 101
LaFayette, CO 80026
(720) 519-1596
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 3015
- License State
- CO
Medicare Participation & PECOS Enrollment Status
Marilyn Gandolph is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MRS. MARILYN ANN GANDOLPH PHYSICIAN ASSISTANT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 8 | 8 | 1 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 8 | 16 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 8 + 1 + 6 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1154388148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154388148, enumerated in the NPI registry as an "individual" on April 26, 2006
The provider is located at 325 W S Boulder Rd Ste 101 Louisville, Co 80027 and the phone number is (720) 519-1596
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.