Active NPI
Stephen W Cotlar, MD
- Plastic Surgery Physician
- Grand Junction, CO
National Provider Identifier
1215913264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 43223
- Practice address
- 2635 N 7TH St
Grand Junction, CO 81501-1628 - Phone
- (970) 298-6307
- Fax
- (970) 298-7037
- NPI assigned
- Dec 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 43223 | CO | Primary |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 43223 | CO |
Addresses
Primary practice location
2635 N 7TH St
Grand Junction, CO 81501-1628
Mailing address
PO Box 62
Grand Junction, CO 81502-0062
Phone (970) 298-6307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07671059 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43223 | CO | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Past | Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Plastic Surgery | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Aspen, CO
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-
- Cardiovascular Disease Physician
- Glenwood Springs, CO
- NPI 1437271285
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
-
- Gastroenterology Physician
- Eagle, CO
- NPI 1568008183
-
- Hematology & Oncology Physician
- Grand Junction, CO
- NPI 1275714081
Plastic Surgery
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1215913264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815020062",
"telephone_number": "970-298-6307",
"fax_number": "970-298-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815011628",
"telephone_number": "970-298-6307",
"fax_number": "970-298-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTLAR",
"first_name": "STEPHEN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "43223",
"primary": true
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "CO",
"license": "43223",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07671059",
"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 Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.