Individual provider Active NPI

Steven Seagren, MD

  • Gastroenterology Physician
  • Grand Junction, CO
National Provider Identifier
1184665655
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34274 Issued in CO
Practice address
1035 Wellington Ave Ste 101
Grand Junction, CO 81501-8122
Phone
(970) 242-6600
Fax
(970) 243-7520
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34274 CO Primary

Addresses

Primary practice location

1035 Wellington Ave Ste 101
Grand Junction, CO 81501-8122

Mailing address

1035 Wellington Ave Ste 101
Grand Junction, CO 81501-8122
Phone (970) 242-6600

Other identifiers 2

IdentifierTypeStateIssuer
P00001800OtherCORRPTAN
01347240MedicaidCO

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
34274COMDGastroenterology Physician

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1184665655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 WELLINGTON AVE STE 101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018122",
            "telephone_number": "970-242-6600",
            "fax_number": "970-243-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WELLINGTON AVE STE 101",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018122",
            "telephone_number": "970-242-6600",
            "fax_number": "970-243-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGREN",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "34274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRPTAN",
            "identifier": "P00001800",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347240",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.