EDGAR PRENTISS JR. COLTHARP (PA-C) – Physician Assistant, NPI 1104956515

EDGAR PRENTISS JR. COLTHARP (PA-C) is a healthcare provider. based in Eagle river, Alaska. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 729 (AK). The NPI Number for EDGAR PRENTISS JR. COLTHARP (PA-C) is 1104956515

Main info

Male
Name
EDGAR PRENTISS JR. COLTHARP (PA-C)
NPI
1104956515
Phone
(907) 694-1173
Address
12032 COPPER MOUNTAIN DR
Enumeration Date
6 March 2007
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for EDGAR PRENTISS JR. COLTHARP (PA-C)

  • 12032 COPPER MOUNTAIN DR

    EAGLE RIVER, AK 995777304

    Phone: (907) 694-1173

    Type: Mailing

  • 3300 ARCTIC BLVD

    # 101

    ANCHORAGE, AK 995034523

    Phone: (907) 561-3488

    Fax: (907) 562-3488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99577)

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Frequently asked questions

Where can patients find EDGAR PRENTISS JR. COLTHARP (PA-C)'s NPI?
You can confirm EDGAR PRENTISS JR. COLTHARP (PA-C) with NPI 1104956515; it appears in the national provider directory.
Is EDGAR PRENTISS JR. COLTHARP (PA-C) currently active in the NPI registry?
CMS-published data lists EDGAR PRENTISS JR. COLTHARP (PA-C) as an active registrant.
What does EDGAR PRENTISS JR. COLTHARP (PA-C) treat or focus on?
Patients typically see EDGAR PRENTISS JR. COLTHARP (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place EDGAR PRENTISS JR. COLTHARP (PA-C)?
The snapshot lists Eagle River, Alaska for EDGAR PRENTISS JR. COLTHARP (PA-C); download NPPES for the complete set.
What if Eagle River, Alaska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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