Jon W Stuebner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17629 Issued in CO

Practice address

14000 E. Arapahoe Road
Suite 380
Centennial, CO 80112-4028

Phone

(303) 226-6180

Fax

(720) 870-1896

NPI assigned

Feb 28, 2007

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 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1720115454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-226-6180",
            "fax_number": "720-870-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 E. ARAPAHOE ROAD",
            "address_2": "SUITE 380",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124028",
            "telephone_number": "303-226-6180",
            "fax_number": "720-870-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUEBNER",
        "first_name": "JON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "17629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01176296",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30136253",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon S Strother, P.T.
• Diane Jennette Strouse, LPC, NCC, CAS
• Bambi C Struck, AGNP
• Sara Stuart-Rector
• Stuebner Saari & Somers PC
• Marc Stuive, RPH
• Rachel Stultz, PT
• Sara Suardini
• Hojung Suh, L. AC
• Sullivan Massage Therapy

• Internal Medicine Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.