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

Mr. John K. Colby III, PA-C

Individual provider Surgery Physician · NPI 1891797528

Mr. John K. Colby III, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 1993, 33 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Wisconsin.

Years since qualifying
33
Licensed in
CO, WI
In the registry since
2005
Specialties on file
3
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

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 13123 E 16th Ave, Aurora, CO 80045-7106 — (720) 848-0000
  • 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 — (720) 848-0000
  • 2400 Pine Ridge Blvd, Wausau, WI 54401-7803 — (715) 847-2022

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0004349 (CO)
Surgery Physician Taxonomy 208600000X · Licence 1706-023 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA.0004349 (CO)

Record details

NPI number1891797528
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2005
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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