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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY M ATHERHOLT JR., MSPA-C, BSRT(R)

Active

Physician Assistant · AURORA, CO

Registration Details

NPI Number
1609120617
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2012 (13.488070236967 yrs)
Last Updated
Jan 14, 2026
Licenses
MA056314 (PA)
5161 (CO)
10216 (AZ)

Practice Information

Address
12605 E 16TH AVE
AURORA, CO, 800452545
Browse CO providers · Browse ZIP 80045
Phone
7208480000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in AURORA, CO

Name Credential NPI
MICHELENE JACKSON PA 1679565394
SHEILA HASTINGS P.A. 1497741250
CAREY SEATTER PA 1740278068
LINSEY WELLER PA 1225026552
LISA WANGER PA 1841288065
JEFFREY M. MCELWAIN PA-C 1760472666
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.