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

Zaccariah Desmond Ivy, PA

Individual provider Physician Assistant · NPI 1407135205

Zaccariah Desmond Ivy, PA is a Physician Assistant in Aurora, Colorado. Works from 2 locations. Licensed in Colorado.

Licensed in
CO
In the registry since
2011
Specialties on file
2
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

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14000 E Arapahoe Rd, Centennial, CO 80112-4043 — (720) 979-0840

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0003256 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0003256 (CO)

Record details

NPI number1407135205
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

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