Active NPI
Lawrence Joseph Stelmach, M.D.
- Family Medicine Physician
- Clifton, CO
National Provider Identifier
1669479549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34002
- Practice address
- 3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687 - Phone
- (970) 434-6542
- Fax
- (970) 434-3327
- NPI assigned
- Jul 7, 2005
- Last updated
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34002 | CO | Primary |
Addresses
Primary practice location
3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Mailing address
3225 I-70 Business Loop
Ste A4
Clifton, CO 81520-7687
Phone (970) 434-6542
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01340025 | Medicaid | CO | |
| 39677 | Other | CO | BCBS |
| 841547572003 | Other | CO | ROCKY MT HEALTH PLANS |
| 2140494 | Other | CO | AETNA- HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 25, 2017 through Oct 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1669479549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 I-70 BUSINESS LOOP",
"address_2": "STE A4",
"city": "CLIFTON",
"state": "CO",
"postal_code": "815207687",
"telephone_number": "970-434-6542",
"fax_number": "970-434-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 I-70 BUSINESS LOOP",
"address_2": "STE A4",
"city": "CLIFTON",
"state": "CO",
"postal_code": "815207687",
"telephone_number": "970-434-6542",
"fax_number": "970-434-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELMACH",
"first_name": "LAWRENCE",
"middle_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "34002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01340025",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39677",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MT HEALTH PLANS",
"identifier": "841547572003",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- HMO",
"identifier": "2140494",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clifton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.