STEPHEN CHARLES ELLIOTT (NPI# 1619215787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619215787 |
| Entity Type | Individual |
| Full Name | STEPHEN CHARLES ELLIOTT |
| Credential | M.D. |
| Practice Address |
1006 Depot Hill Rd Broomfield CO 80020-6721 |
| Mailing Address |
4105 Tejon St Unit C Denver CO 80211-1880 |
| Practice Telephone | 9704125955 |
| Mailing Telephone | 4064311921 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16741 | CO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346674983 | Stephen Trader Elliott Jr. | Registered Nurse | Kamc, Ngh, Mc 1, Building 12, Apt. 8, Er Mail Cose 6338, Jeddah, MAKKAH 21423 | 2013-08-31 |
| 1437160256 | Stephen P Elliott | Family Medicine | 11979 Fishers Crossing Dr, Fishers, IN 46038-2778 | 2006-08-10 |
| 1669471611 | Stephen Mark Elliott | Social Worker | 320 Central Park W, Suite 1 E, New York, NY 10025-7659 | 2005-07-20 |
| 1528678455 | Stephen Elliott | Adult Companion | 1500 E Tropicana Ave, Las Vegas, NV 89119-6514 | 2020-08-05 |
| 1215590054 | Stephen Michael Elliott | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2019-04-17 |
| 1952500183 | Stephen C Elliott | Psychiatry & Neurology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-07-17 |
| 1417009937 | Stephen Seals Elliott | Psychologist | 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 | 2007-01-17 |
| 1023127644 | Stephen J Elliott | Pediatrics | 15031 Rinaldi St, Mission Hills, CA 91345 | 2006-08-29 |
| 1710971478 | Stephen C Elliott | Pediatrics | 1212 Pleasant St, Suite 300, Des Moines, IA 50309-1453 | 2005-09-08 |
| Street Address |
1006 DEPOT HILL RD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559662 | Eric C Meyer | Counselor | 1006 Depot Hill Rd, Suite H3, Broomfield, CO 80020-6721 | 2005-09-23 |
| 1508187154 | The Interpersonal Healing Clinic, LLC | Community/Behavioral Health | 1006 Depot Hill Rd, Suite D, Broomfield, CO 80020-6721 | 2010-06-17 |
| 1124100995 | Anne Marie Shopp | Marriage & Family Therapist | 1006 Depot Hill Rd, Suite A, Broomfield, CO 80020-6721 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932597598 | Fox Integrated Healthcare, LLC | General Practice | 3305 W 144th Ave Unit 103, Broomfield, CO 80023-9483 | 2015-01-06 |
| 1508229584 | Summit Medical Care Center, LLC | General Practice | 54 Garden Ctr, Broomfield, CO 80020-1730 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020923 | Scl Health Medical Group - Denver, LLC | General Practice | 8550 W 38th Ave Ste 320, Wheat Ridge, CO 80033-4300 | 2020-07-16 |
| 1316569387 | Poudre Valley Medical Group, LLC | General Practice | 4050 Briargate Pkwy Fl 4, Colorado Springs, CO 80920-7815 | 2020-05-13 |
| 1407478456 | Poudre Valley Medical Group, LLC | General Practice | 2500 Rocky Mountain Ave # F1016j, Loveland, CO 80538-9004 | 2020-05-13 |
| 1386263044 | Poudre Valley Medical Group, LLC | General Practice | 3800 Wilson Ave, Loveland, CO 80538-2075 | 2020-04-13 |
| 1932728706 | Poudre Valley Medical Group, LLC | General Practice | 256 W Mountain Ave, Fort Collins, CO 80521-2711 | 2020-04-13 |
| 1023637915 | Poudre Valley Medical Group, LLC | General Practice | 1041 Woodward Way, Fort Collins, CO 80524-3468 | 2020-04-11 |
| 1710516950 | Poudre Valley Medical Group, LLC | General Practice | 4380 Ziegler Rd, Fort Collins, CO 80525-9631 | 2020-04-08 |
| 1689208035 | Balance Wellspace LLC | General Practice | 125 Rampart Way Ste 300, Denver, CO 80230-6429 | 2020-02-25 |
| 1215584321 | Belleview Spince and Wellnces Cos LLC | General Practice | 1257 Lake Plaza Dr Ste 105, Colorado Springs, CO 80906-7300 | 2019-08-22 |
| 1497307771 | Pamela Raring Mclaughlin | General Practice | 2275 Homestead Dr, Grand Junction, CO 81505-8306 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on STEPHEN CHARLES ELLIOTT.
| 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.