Individual provider Active NPI

Stanley F Siefer, M.D.

  • Emergency Medicine Physician
  • Englewood, CO
National Provider Identifier
1063490159
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
17908 Issued in CO
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01179084MedicaidCO

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

LicenseStateTypeSpecialty
17908COMDEmergency 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.

Verify at the official NPI Registry.