Stephen Grant Vanooteghem, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR0056397 Issued in CO

Practice address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Phone

(303) 425-4500

NPI assigned

May 8, 2012

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

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1710246087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351750",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800351750",
            "telephone_number": "303-484-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-425-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOTEGHEM",
        "first_name": "STEPHEN",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR0056397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Vamvakas
• Irene Leah Vancleave
• Gabrielle Paige Vandergriff, RDN
• Tomm Vanderhorst, MD
• Blake Vanderploeg, PT, DPT
• Mark Ian Vanotterloo, DAOM
• Julie R Vanryswyk, LCSW
• Jill Vecchio, M.D.
• Jessica Veillon, LPC
• Angela Velasco

• Emergency Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.