Stephanie K. Gozdzialski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0009328 Issued in CO

Practice address

11339 S Pikes Peak Dr
Parker, CO 80138-7333

Phone

(720) 588-4000

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seretiscare Inc.

  • Primary Care Clinic/Center
  • Logan Township, NJ
  • NPI 1487758165
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1962425769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 GALAXY CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083106",
            "telephone_number": "856-577-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11339 S PIKES PEAK DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387333",
            "telephone_number": "720-588-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9330 S University Blvd Ste 100&102",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801265065",
            "country_code": "US",
            "telephone_number": "303-346-3627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOZDZIALSKI",
        "first_name": "STEPHANIE",
        "middle_name": "K.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0009328",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1996-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "15739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation
• Julie Elizabeth Essig
• Nicole Franzosa, PHARMD
• Jill Fredricks Brown, ED. S.
• Generation Station LLC
• Kristy Lynne Henner, MOT, OTR/L
• Holistic Healing Counseling Services
• Allison Jessar, PSYD
• Harshila Kakkilaya, MD
• Christian Robert Klumpp

• Physician Assistant in Logan Township, NJ
• Providers in Logan Township, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.