Individual provider · Type 1 NPI

Charles Emerson, PA, ATC

Medical Physician Assistant · Aurora, CO

NPI number 1053863746 Active

Practice location

12505 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 11820 Destination Dr, Broomfield, CO 80021-2518 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X97201 (MT)
Physician Assistant 363A00000XPA9109426 (FL)
Physician Assistant 363A00000XPA.0008875 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0008875 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1053863746

Charles Emerson, PA, ATC's National Provider Identifier is 1053863746, issued on Oct 27, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Sep 2, 2025.