Organization Active NPI

Flatirons Endocrinology Consultants PC

  • Specialist
  • Boulder, CO
National Provider Identifier
1912910928
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DR15809 Issued in CO
Legal business name
FLATIRONS ENDOCRINOLOGY CONSULTANTS PC
Practice address
1155 Alpine Ave
Suite 260
Boulder, CO 80304-3495
Phone
(303) 440-0444
Fax
(303) 444-2015
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Melvin R Stjernholm, M.D.
Title
President
Phone
(303) 440-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X DR15809 CO Primary

Addresses

Primary practice location

1155 Alpine Ave
Suite 260
Boulder, CO 80304-3495

Mailing address

36 Garden Ctr
Broomfield, CO 80020-1730
Phone (303) 465-0401

Other identifiers 1

IdentifierTypeStateIssuer
04007183MedicaidCO

National Provider Directory

National Provider Directory

Locations

1155 Alpine Ave
Ste 260
Boulder, CO 80304
Phone (303) 440-0444

323 W Main St
Frisco, CO 80443
Phone (303) 717-2324

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1912910928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 GARDEN CTR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201730",
            "telephone_number": "303-465-0401",
            "fax_number": "303-404-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ALPINE AVE",
            "address_2": "SUITE 260",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043495",
            "telephone_number": "303-440-0444",
            "fax_number": "303-444-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATIRONS ENDOCRINOLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "STJERNHOLM",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-440-0444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "DR15809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04007183",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.