Stadium Medical, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STADIUM MEDICAL, INC.

Practice address

695 Canosa CT # B
Denver, CO 80204-4143

Phone

(303) 549-7916

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Bernie Ames

Title

Administrative Specialist

Phone

(303) 549-7916

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• W Peter Vellman, MD

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1265405930
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1619279338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 CANOSA CT # B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044143",
            "telephone_number": "303-549-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 CANOSA CT # B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044143",
            "telephone_number": "303-549-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STADIUM MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "303-549-7916"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12959049",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt Stacy
• Rachael Stacy
• Emma Katherine Stadele, STUDENT CLINICIAN
• Christina Stadelmaier, BA, BFA
• Stadium Medical, Inc.
• Katherine Grace Stadler, CTRS
• Amy E Stadstad, PHARM.D
• Elisabeth Staerz, MD
• Staffendudley PLLC
• Carol Ann Stafford, PSY.D., LP

• Public Health or Welfare Agency in Denver, CO
• Providers in Denver, CO by specialty
• Public Health or Welfare Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.