John Stallworth, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25137 Issued in CO

Practice address

10099 Ridgegate Pkwy
370
Lone Tree, CO 80124-5531

Phone

(303) 795-3110

Fax

(303) 795-6992

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• OB-GYN Affiliates

  • Obstetrics & Gynecology Physician
  • Littleton, CO
  • NPI 1134185721
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386657559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "370",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-795-3110",
            "fax_number": "303-795-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10099 RIDGEGATE PKWY",
            "address_2": "370",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245531",
            "telephone_number": "303-795-3110",
            "fax_number": "303-795-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "25137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Eileen Spooner, D.D.S.
• Carolyn Spratte, BSN,RN
• Nikhilesh Srinivasan, MD
• Kathryn Anne Stager, RDH
• Abigail Edith Stahlhut, DC
• Stanbrick Dental, PC
• Kristi R Stark, FNP
• Rachael Lynn Stark, DO
• Theodore Harry Stathos, MD
• Cody James Stein

• Obstetrics & Gynecology Physician in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.