Active NPI
Stanley F Siefer, M.D.
- Emergency Medicine Physician
- Englewood, CO
National Provider Identifier
1063490159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17908
- Practice address
- 901 W Hampden Ave
Suite 103
Englewood, CO 80110-7331 - Phone
- (303) 761-1699
- Fax
- (303) 761-4099
- NPI assigned
- Jan 9, 2006
- Last updated
- May 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17908 | CO | Primary |
Addresses
Primary practice location
901 W Hampden Ave
Suite 103
Englewood, CO 80110-7331
Mailing address
901 W Hampden Ave
Unit 103
Englewood, CO 80110-7330
Phone (303) 761-1699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01179084 | Medicaid | CO |
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 |
|---|---|---|---|
| 17908 | CO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684022400000",
"number": "1063490159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W HAMPDEN AVE",
"address_2": "UNIT 103",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801107330",
"telephone_number": "303-761-1699",
"fax_number": "303-761-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W HAMPDEN AVE",
"address_2": "SUITE 103",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801107331",
"telephone_number": "303-761-1699",
"fax_number": "303-761-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEFER",
"first_name": "STANLEY",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-05-14",
"certification_date": "2023-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "17908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01179084",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.