Salida General Surgery, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SALIDA GENERAL SURGERY, PLLC

Practice address

1101 Pinon Dr
Poncha Springs, CO 81242-5084

Phone

(719) 286-3170

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Stefan Iverson, DONPI 1053948646

Title

General Surgeon

Phone

(719) 286-3170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Stefan Iverson, DO

  • Surgery Physician
  • Salida, CO
  • NPI 1053948646
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1821950353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "812421003",
            "telephone_number": "719-286-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PINON DR",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "812425084",
            "telephone_number": "719-286-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA GENERAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "719-286-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Croghan, DPT
• Leslie Saueressig Duran, MSPT
• Marissa Lorna Espy, RN
• Fitness for Function, LLC
• Alysha Rushing
• Courtney Smith, RD
• The Keys to Nutrition, LLC

• Surgery Physician in Poncha Springs, CO
• Providers in Poncha Springs, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.