NPIMap

Organization Active NPI

Stem Medical Group Michigan PC

  • Neurological Surgery Physician
  • Denver, CO
National Provider Identifier
1336875186
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
STEM MEDICAL GROUP MICHIGAN PC
Practice address
501 S Cherry St Ste 1100
Denver, CO 80246-1323
Phone
(800) 975-1652
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Dr. Alexander Mason, MDNPI 1275758039
Title
Ceo
Phone
(404) 227-4864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

501 S Cherry St Ste 1100
Denver, CO 80246-1323

Mailing address

501 S Cherry St Ste 1100
Denver, CO 80246-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240411001000 TX Part B Supplier - Clinic/Group Practice 9234586009 Receives reassigned benefits from 3 practitioners
Practice locations: Friendswood, TX; North Richland Hills, TX; San Antonio, TX
O20240416004016 FL Part B Supplier - Clinic/Group Practice 9234586009 Receives reassigned benefits from 6 practitioners
Practice locations: Coral Springs, FL; Delray Beach, FL; Kissimmee, FL; Panama City, FL; St Petersburg, FL
O20240425000816 DC Part B Supplier - Clinic/Group Practice 9234586009 Receives reassigned benefits from 1 practitioner
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1336875186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST STE 1100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461323",
            "telephone_number": "800-975-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEM MEDICAL GROUP MICHIGAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-227-4864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.

Verify at the official NPI Registry.