Provider Demographics
NPI:1538150206
Name:MCCANN, DARIN MICHAEL (PA-C)
Entity type:Individual
Prefix:MR
First Name:DARIN
Middle Name:MICHAEL
Last Name:MCCANN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:705 MARKETPLACE PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-1841
Mailing Address - Country:US
Mailing Address - Phone:970-879-6663
Mailing Address - Fax:970-871-1234
Practice Address - Street 1:4401 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-3507
Practice Address - Country:US
Practice Address - Phone:307-448-3220
Practice Address - Fax:970-871-1234
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07484363AM0700X
WY278363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY278OtherWY LICENSE
CO44833245Medicaid
COP00266055OtherRAILROAD MEDICARE
TX1538150206OtherINDIVIDUAL NPI