NPIMap

Organization Active NPI

Conifer Medical Center, PC

Doing business as Evergreen Family Medial Center

  • Family Medicine Physician
  • Evergreen, CO
National Provider Identifier
1467183129
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CONIFER MEDICAL CENTER, PC
Doing business as
Evergreen Family Medial Center
Practice address
30940 Stagecoach Blvd Ste E270
Evergreen, CO 80439-7782
Phone
(303) 647-5300
Fax
(877) 892-7288
NPI assigned
Jun 22, 2022
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EVERGREEN FAMILY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Denise Stuart
Title
Practice Administrator
Phone
(303) 647-5280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

30940 Stagecoach Blvd Ste E270
Evergreen, CO 80439-7782

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5280

Other practice location 1

26659 Pleasant Park Rd
Conifer, CO 80433-7768
Phone (303) 647-5280

Other names 1

  • Evergreen Family Medial Center Doing business as

National Provider Directory

National Provider Directory
Part of
Steven Russell MD

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1467183129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26659 PLEASANT PARK RD",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337768",
            "telephone_number": "303-647-5280",
            "fax_number": "877-892-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD STE E270",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397782",
            "telephone_number": "303-647-5300",
            "fax_number": "877-892-7288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26659 Pleasant Park Rd",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804337768",
            "country_code": "US",
            "telephone_number": "303-647-5280",
            "fax_number": "877-892-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONIFER MEDICAL CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVERGREEN FAMILY MEDICAL CENTER",
        "enumeration_date": "2022-06-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-647-5280"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Family Medial Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.