Active NPI
Stephen L Ludwig, M.D.
- Family Medicine Physician
- Fruita, CO
National Provider Identifier
1861575730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22481
- Practice address
- 455 Kokopelli Blvd
Unit C
Fruita, CO 81521-8710 - Phone
- (970) 256-5285
- NPI assigned
- Oct 23, 2006
- Last updated
- Feb 2, 2016
- 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 | 22481 | CO | Primary |
Addresses
Primary practice location
455 Kokopelli Blvd
Unit C
Fruita, CO 81521-8710
Mailing address
PO Box 10700
Grand Junction, CO 81502-5517
Phone (970) 256-5285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01224815 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22481 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1861575730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10700",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815025517",
"telephone_number": "970-256-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 KOKOPELLI BLVD",
"address_2": "UNIT C",
"city": "FRUITA",
"state": "CO",
"postal_code": "815218710",
"telephone_number": "970-256-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "STEPHEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "22481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01224815",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fruita, CO
- Lower Valley Hospital Association (Family Health West General Surgery)
- Lower Valley Hospital Association (Family Health West)
- Lower Valley Hospital Association (Family Health West Hospitalists)
- Lower Valley Hospital Association (Family Health West Rehabilitative Medicine)
- Lower Valley Hospital Association (Family Health West Urgent Care)
- Caitlin Luke
- Carol Bell Lybrook, D.D.S.
- Scott Douglas Lybrook, D.M.D.
- Megan Lykke, MD
- Amber Lykken, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.