Individual provider Active NPI

Stephen R Nash, MD

  • Anatomic Pathology Physician
  • Centennial, CO
National Provider Identifier
1053414045
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
39471 Issued in CO
Practice address
7346 S Alton Way
Suite 10-E
Centennial, CO 80112-2327
Phone
(303) 770-4848
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 39471 CO Primary

Addresses

Primary practice location

7346 S Alton Way
Suite 10-E
Centennial, CO 80112-2327

Mailing address

7346 S Alton Way
Ste 10-D
Centennial, CO 80112-2327
Phone (303) 770-4848

Other identifiers 1

IdentifierTypeStateIssuer
06528023MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025000258 CO Practitioner - Pathology 5597990655 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39471COMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Denver Gastroenterology, PC CurrentSince Dec 23, 2021 Accepting new patients
Rocky Mountain Gastroenterology Associates, PLLC CurrentSince Mar 1, 2015 Accepting new patients
Denver Digestive Health Specialists Inc CurrentSince Sep 1, 2013 Accepting new patients

Locations

7346 S Alton Way
Ste 10-E
Centennial, CO 80112
Phone (303) 770-4848

7346 S Alton Way
Ste 10-D
Centennial, CO 80112
Phone (303) 220-4369

4500 E 9th Ave
Ste 720S
Denver, CO 80220
Phone (303) 355-3525

499 E Hampden Ave
Ste 420
Englewood, CO 80113
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1053414045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7346 S ALTON WAY",
            "address_2": "STE 10-D",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122327",
            "telephone_number": "303-770-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7346 S ALTON WAY",
            "address_2": "SUITE 10-E",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122327",
            "telephone_number": "303-770-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CO",
            "license": "39471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06528023",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.