Individual provider Active NPI

Stacy L Greenspan, DO

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1336124825
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
37796 Issued in CO
Practice address
2912 Cathedral Park VW
Colorado Springs, CO 80904-4722
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 37796 CO Primary
Diagnostic Radiology Physician 2085R0202X 1164 NE
Diagnostic Radiology Physician 2085R0202X 05-37082 KS
Diagnostic Radiology Physician 2085R0202X 1592 HI

Addresses

Primary practice location

2912 Cathedral Park VW
Colorado Springs, CO 80904-4722

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, AZ, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060214000200 CO Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 4587679444 Reassigns benefits to 14 organizations
I20151124000703 TX Practitioner - Diagnostic Radiology 4587679444 Reassigns benefits to 4 organizations
I20171205002270 AZ Practitioner - Osteopathic Manipulative Medicine 4587679444 Reassigns benefits to 12 organizations
I20230322002844 NM Practitioner - Diagnostic Radiology 4587679444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians
Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians

Practice addresses (Care Compare)

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (832) 915-2534

2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (832) 915-2534

2600 N State Hwy 118
Big Bend Regional Medical Center
Alpine, TX 79830-2002
Phone (432) 837-3447

2912 Cathedral Park VW
Colorado Springs, CO 80904-4722
Phone (505) 225-8476

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (832) 915-2534

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (832) 915-2534

6803 E Main St
Unit 2203
Scottsdale, AZ 85251-4321
Phone (832) 509-4076

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1164NEMDPsychologist
37796COMDDiagnostic Radiology Physician
1592HIMDDiagnostic Radiology Physician
05-37082KSMDDiagnostic Radiology Physician
2440MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jul 24, 2020 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jun 17, 2019 Accepting new patients
Singleton Associates PA Neuroradiology CurrentSince Mar 1, 2018 Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology CurrentSince Sep 30, 2023 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Eagle Partners, PLLC Neuroradiology CurrentSince Mar 1, 2018 Accepting new patients
Uch-MHS CurrentSince Jan 12, 2013 Accepting new patients
Sierra Vista Hospital CurrentSince Mar 1, 2023 Accepting new patients
Yampa Valley Medical Center CurrentSince Jan 14, 2026 Accepting new patients
Ton Sells Hospital CurrentSince Sep 8, 2015 Accepting new patients
Yampa Valley Medical Center CurrentSince Jan 14, 2026 Accepting new patients
Radiology Affiliates of Central New Jersey PC Neuroradiology CurrentSince Jul 1, 2019 Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology PastSince May 1, 2016 Accepting new patients
Uch-MHS Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Mountain Radiology, Inc Diagnostic Radiology Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
CHS Physician Partners, P.C PastSince Oct 14, 2020 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Canton, Inc. Neuroradiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Aug 1, 2018 Accepting new patients

Locations (25 of 115)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

18275 N 59th Ave
Ste 168
Glendale, AZ 85308

5757 W Thunderbird Rd
Ste W100
Glendale, AZ 85306
Phone (623) 931-7999

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1336124825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 CATHEDRAL PARK VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044722",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "37796",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1164",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-37082",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "1592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.