Stacy Jay Childs, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

34579 Issued in CO

Practice address

501 Anglers Dr
Ste 202
Steamboat Springs, CO 80487-8840

Phone

(970) 871-9710

Fax

(970) 871-9709

NPI assigned

Oct 2, 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

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1538252580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880310",
            "address_2": "SUITE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804880310",
            "telephone_number": "970-871-9710",
            "fax_number": "970-871-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ANGLERS DR",
            "address_2": "STE 202",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878840",
            "telephone_number": "970-871-9710",
            "fax_number": "970-871-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "STACY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "34579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345792",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine Grace Charles, ND, LAC
• Jessica Charpentier, BCBA
• Hestia Ludmila Chase, RN
• Children'S Hospital Colorado
• Children'S Wellness Center of Colorado
• Petra Chladek, PAC
• Kaitlin Christensen-Rosenstein
• Kathryn Ciamaichelo, RD
• Jamie Lynn Cimo, MA/SLP
• Neil F Cinquemani, PT

• Urology Physician in Steamboat Springs, CO
• Providers in Steamboat Springs, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.