Organization Active NPI

Leslie a Stewart MD PC

  • Dermatology Physician
  • Greenwood Village, CO
National Provider Identifier
1487794616
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LESLIE A STEWART MD PC
Practice address
8200 E Belleview Ave
Suite 404
Greenwood Village, CO 80111-2803
Phone
(303) 761-0906
Fax
(303) 761-0907
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Leslie Stewart, MD
Title
President
Phone
(303) 756-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

8200 E Belleview Ave
Suite 404
Greenwood Village, CO 80111-2803

Mailing address

8200 E Belleview Ave Ste 404C
Greenwood Village, CO 80111-2807
Phone (303) 761-0906

Other identifiers 1

IdentifierTypeStateIssuer
ST151308OtherCOBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1780 S Bellaire St
Ste 535
Denver, CO 80222

8200 E Belleview Ave
Ste 404
Greenwood Village, CO 80111
Phone (303) 761-0906

Practitioners & affiliated clinicians

Practitioners 3

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1487794616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 404C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112807",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 404",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-761-0906",
            "fax_number": "303-761-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE A STEWART MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-756-5281",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ST151308",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.