Organization Active NPI

Alan F. Stage MD, a PLLC

  • Pediatrics Physician
  • Castle Rock, CO
National Provider Identifier
1114188695
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21851 Issued in CO
Legal business name
ALAN F. STAGE MD, A PLLC
Practice address
1 Oakwood Park PLZ Ste 101
Castle Rock, CO 80104-1849
Phone
(303) 688-2320
Fax
(303) 688-1371
NPI assigned
Jun 18, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Alan Frederick Stage, MDNPI 1821044975
Title
Owner
Phone
(303) 688-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21851 CO Primary

Addresses

Primary practice location

1 Oakwood Park PLZ Ste 101
Castle Rock, CO 80104-1849

Mailing address

1 Oakwood Park PLZ Ste 101
Castle Rock, CO 80104-1849
Phone (303) 688-2320

Other identifiers 1

IdentifierTypeStateIssuer
29750270MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1114188695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041849",
            "telephone_number": "303-688-2320",
            "fax_number": "303-688-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ STE 101",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041849",
            "telephone_number": "303-688-2320",
            "fax_number": "303-688-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN F. STAGE MD, A PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STAGE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-688-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "21851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29750270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.