Sheldon Gregory Stadnyk, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

37392 Issued in CO

Practice address

1801 16TH St
Greeley, CO 80631-5154

Phone

(970) 350-6002

NPI assigned

Jan 20, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1003053638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SONGBIRD CT",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031478",
            "telephone_number": "303-905-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-350-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADNYK",
        "first_name": "SHELDON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37392",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G29929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC Greeley Centennial Operating Company LLC (Centennial Healthcare Center)
• SSC Greeley Centennial Operating Company LLC (Centennial Healthcare Center)
• SSC Greeley Kenton Operating Company LLC (Kenton Manor)
• SSC Greeley Kenton Operating Company LLC (Kenton Manor)
• Samantha Stadjuhar Whitmore
• Katrina Raenae Staley, FNP-C
• Stephanie Rose Stamos
• McKenzie Stampfli, MD
• Kelly Standke, MA, CCC-SLP
• Carly Standley

• Internal Medicine Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.