Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary M Atherholt Jr., MSPA-C, BSRTR

Individual provider Medical Physician Assistant · NPI 1609120617

Gary M Atherholt Jr., MSPA-C, BSRTR is a Physician Assistant in Aurora, Colorado. Qualified in 2012, 14 years ago. Practices with Radiology Alliance PC, a 424-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Colorado and Pennsylvania.

Years since qualifying
14
Licensed in
AZ, CO, PA
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 799 E Hampden Ave Ste 400, Englewood, CO 80113-2766 — (303) 789-2663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5161 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA056314 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 10216 (AZ)

Record details

NPI number1609120617
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPA-C , BSRTR
Sole proprietorNo
NPI enumeratedOctober 30, 2012
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Radiology Alliance Pc — 424 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Aurora