Individual provider · Type 1 NPI

Matthew Burkholder, PA

Surgical Physician Assistant · Boulder, CO

NPI number 1104216464 Active

Practice location

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Mailing address

315 W Harper St
Louisville, CO 80027-1659

Other practice locations

  • 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907-6819 · (719) 635-2501
  • 4743 Arapahoe Ave Ste 100, Boulder, CO 80303-1123 · (303) 415-4599

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.0004222 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1104216464

Matthew Burkholder, PA's National Provider Identifier is 1104216464, issued on Jan 26, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boulder, CO. The record was last updated on Oct 10, 2026.