Stone Mountain Healthcare, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43943 Issued in CO

Legal business name

STONE MOUNTAIN HEALTHCARE, PC

Practice address

12081 W Alameda Pkwy Ste 438
Lakewood, CO 80228-2701

Phone

(303) 551-3643

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Kelts, MDNPI 1649298746

Title

President

Phone

(303) 465-3316

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Elizabeth Anne Stone Kelts, M.D.

  • Family Medicine Physician
  • Lakewood, CO
  • NPI 1649298746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1851779169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14774 FENTON ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800206116",
            "telephone_number": "303-465-3316",
            "fax_number": "303-465-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12081 W ALAMEDA PKWY STE 438",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282701",
            "telephone_number": "303-551-3643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14774 Fenton St",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800206116",
            "country_code": "US",
            "telephone_number": "303-465-3316",
            "fax_number": "303-465-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STONE MOUNTAIN HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "KELTS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-465-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "43943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory M Stofac
• Jennifer Stofac
• Carolyn Ruth Stoloff, PHD
• Alison Dee Stoltz, R.M.T
• Stone Chiropractic, Inc.
• Blayne D. Stone, PHD
• Elizabeth Maria Stone, PA-C
• Kelly Nicole Stone, PT, DPT, CSCS
• Kristin Stone, COTA
• Michael Stone, MD

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.