Individual provider · Type 1 NPI

Peter Jay Ienatsch, PA

Physician Assistant · Colorado Springs, CO

NPI number 1679608038 Active

Practice location

2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981

Call (719) 522-1133 Map

Fax (719) 576-2025

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

  • 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 · (719) 556-1306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0004947 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1679608038

Peter Jay Ienatsch, PA's National Provider Identifier is 1679608038, issued on Feb 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 24, 2026.