Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Sonemala Phommatha, PA-C

Individual provider Physician Assistant · NPI 1720108830

Miss. Sonemala Phommatha, PA-C is a Physician Assistant in Denver, Colorado. Qualified in 2006, 20 years ago. Practices with Healthone Clinic Services-Surgical Specialties LLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
20
Licensed in
CO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1721 E 19th Ave Ste 500
Denver, CO 80218-1242
Phone: (303) 762-3472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0002374 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0002374 (CO)

Record details

NPI number1720108830
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

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 Healthone Clinic Services-Surgical Specialties Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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