Active NPI
Stanley Gunstream, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Fort Collins, CO
National Provider Identifier
1063482982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 21719
- Practice address
- 2121 E Harmony Rd
Ste 300
Fort Collins, CO 80528-3400 - Phone
- (970) 224-9102
- Fax
- (970) 224-9112
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21719 | CO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 21719 | CO | Primary |
| Pulmonary Disease Physician | 207RP1001X | 21719 | CO | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 21719 | CO |
Addresses
Primary practice location
2121 E Harmony Rd
Ste 300
Fort Collins, CO 80528-3400
Mailing address
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538-8702
Phone (970) 624-4443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063482982 | Medicaid | CO | |
| 290007465 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21719 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Colorado Pulmonary Consutlants, PC | Critical Care Medicine | Past | Accepting new patients |
| Medical Center of the Rockies | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Fort Collins, CO
- NPI 1922078989
Critical Care Medicine
-
- Pharmacy
- Denver, CO
- NPI 1124640297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1063482982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE",
"address_2": "STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388702",
"telephone_number": "970-624-4443",
"fax_number": "970-490-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "STE 300",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-224-9102",
"fax_number": "970-224-9112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSTREAM",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "21719",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CO",
"license": "21719",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CO",
"license": "21719",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "CO",
"license": "21719",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063482982",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290007465",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.