Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark R Laudermilk, PA

Individual provider Physician Assistant · NPI 1578602496

Mark R Laudermilk, PA is a Physician Assistant in Denver, Colorado. Qualified in 2006, 20 years ago. Practices with Radiology Imaging Associates PC, a 149-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
20
Licensed in
CO
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2525 S Downing St
Denver, CO 80210-5817
Phone: (303) 761-9190
Fax: (720) 874-4462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2356 (CO)

Record details

NPI number1578602496
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Radiology Imaging Associates Pc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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