Jodie Lynn Gahn-Stahley, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1285 Issued in CO

Practice address

2356 Meadows Blvd Ste 140B
Castle Rock, CO 80109-8410

Phone

(303) 218-7774

Fax

(720) 608-5781

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jodie Lynn Schoenholtz Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jodie.gahn.stahley.1@13495.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13495/brand/1/csg/1/fhir/r4

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.

• Portercare Adventist Health System

  • Cardiovascular Disease Physician
  • Parker, CO
  • NPI 1891393922
  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Douglas Family Medicine, P.C.

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1770602013
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1508012865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "720-608-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 140B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-218-7774",
            "fax_number": "720-608-5781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 Park Meadows Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Lonetree",
            "state": "CO",
            "postal_code": "80124",
            "country_code": "US",
            "telephone_number": "303-708-0246",
            "fax_number": "303-708-0247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAHN-STAHLEY",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "1285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODIE",
            "last_name": "SCHOENHOLTZ",
            "middle_name": "LYNN",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dianne Madden Fulwider
• Amber L Furler, D.C.
• Steven Fussner, MD
• Dawn R Gabriel, MA, LPC
• Susan Gadeken
• Tyler A Gaines, DC
• Gaining Health Chiropractic
• Lauren Galbreath
• Shannon Galfi
• Kimberly Marie Gaona, MA, LPCC

• Family Medicine Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.