MR. STACY JAY CHILDS (NPI# 1538252580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538252580 |
| Entity Type | Individual |
| Full Name | MR. STACY JAY CHILDS |
| Credential | MD |
| Practice Address |
501 Anglers Dr Ste 202 Steamboat Springs CO 80487-8840 |
| Mailing Address |
Po Box 880310 Suite 202 Steamboat Springs CO 80488-0310 |
| Practice Telephone | 9708719710 |
| Practice Fax Number | 9708719709 |
| Mailing Telephone | 9708719710 |
| Mailing Fax Number | 9708719709 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 34579 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01345792 | 05 |
| Street Address |
501 ANGLERS DR STE 202 |
| City | STEAMBOAT SPRINGS |
| State | CO |
| Zip Code | 80487-8840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083632988 | Millie Flanigan | Physician Assistant | 501 Anglers Dr, Suite 201, Steamboat Springs, CO 80487-8840 | 2006-07-18 |
| 1942555081 | Clay Michael Pendleton | Specialist | 501 Anglers Dr, Suite 202, Steamboat Springs, CO 80487-8840 | 2012-07-15 |
| 1457615403 | Jonathan Daniel Bishop | Dentist | 501 Anglers Dr, Suite 102, Steamboat Springs, CO 80487-8840 | 2012-06-25 |
| 1972862373 | Storm Mountain Orthopaedics, PC | Orthopaedic Surgery | 501 Anglers Dr, Suite 101, Steamboat Springs, CO 80487-8840 | 2012-05-07 |
| 1396906756 | Barbara A Novotny | Family Medicine | 501 Anglers Dr, Suite 201, Steamboat Springs, CO 80487-8840 | 2008-06-18 |
| 1447462841 | Jamie Lee Vanoveren | Specialist | 501 Anglers Dr, Suite 202, Steamboat Springs, CO 80487-8840 | 2007-05-06 |
| 1073676052 | Urology Clinic P.C. | Urology | 501 Anglers Dr, Suite 202, Steamboat Springs, CO 80487-8840 | 2006-12-19 |
| 1912083668 | Tim Franklin Townsend | Dentist | 501 Anglers Dr, Suite 102, Steamboat Springs, CO 80487-8840 | 2006-10-27 |
| 1861585812 | Lyman R Brothers IIi | Urology | 501 Anglers Dr, Ste 202, Steamboat Springs, CO 80487-8840 | 2006-10-02 |
| 1235140690 | Phaedra A Fegley | Family Medicine | 501 Anglers Dr, Suite 201, Steamboat Springs, CO 80487-8840 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169670 | Yampa Valley Medical Center | Clinic/Center | 136 Lincoln Ave, Steamboat Springs, CO 80487 | 2020-09-22 |
| 1245849736 | Children's Wellness Center of Colorado | Counselor | 2220 Curve Plaza, Suite 203, Steamboat Springs, CO 80487 | 2020-07-30 |
| 1508496308 | City of Steamboat Springs | Ambulance | 2600 Pine Grove Road, Steamboat Springs, CO 80487 | 2020-01-21 |
| 1447802194 | Michael Dieter | Physical Therapy Assistant | 136 South Lincoln Ave, Steamboat Springs, CO 80487 | 2019-07-12 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| 1649799800 | Joshua James Zink | Chiropractor | 2700 Lincoln Ave., Steamboat Springs, CO 80487 | 2017-09-19 |
| 1346630688 | Katherine Higgins | Acupuncturist | 419 Oak St., Steamboat Springs, CO 80487 | 2015-01-26 |
| 1952719098 | Denise Lynn Martinez | Counselor | 1915 Alpine Plaza, Unit C4, Steamboat Springs, CO 80487 | 2014-07-31 |
| 1285069468 | Nicole Leanne Olexa | Massage Therapist | 702 Oak Avenue, Steamboat Springs, CO 80487 | 2013-09-06 |
| 1760828610 | Susan A Seitz | Pharmacist | 1825 Central Park Dr, Steamboat Springs, CO 80487 | 2013-05-20 |
| Find all providers in zip 80487 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115652 | Howard Patterson Hezmall | Urology | 501 Anglers Dr Ste 202, Steamboat Springs, CO 80487-8841 | 2005-09-20 |
| 1073676052 | Urology Clinic P.C. | Urology | 501 Anglers Dr, Suite 202, Steamboat Springs, CO 80487-8840 | 2006-12-19 |
| 1861585812 | Lyman R Brothers IIi | Urology | 501 Anglers Dr, Ste 202, Steamboat Springs, CO 80487-8840 | 2006-10-02 |
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|---|---|---|---|---|
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| 1619586187 | Poudre Valley Medical Group, LLC | Urology | 175 S Union Blvd Ste 315, Colorado Springs, CO 80910-3126 | 2020-07-30 |
| 1932718418 | Portercare Adventist Health System | Urology | 2352 Meadows Blvd Ste 300u, Castle Rock, CO 80109-8406 | 2020-07-30 |
| 1417566274 | Portercare Adventist Health System | Urology | 9949 S Oswego St Ste 300, Parker, CO 80134-3888 | 2020-07-28 |
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1093207680 | University Physicians Incorporated | Urology | 9330 S University Blvd Ste 230, Highlands Ranch, CO 80126-5049 | 2018-05-31 |
| Find all providers with the same taxonomy | ||||
| City | STEAMBOAT SPRINGS |
| Zip Code | 80487 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.