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STONE MOUNTAIN HEALTHCARE, PC
NPI 1851779169
Family Medicine in Lakewood, CO

Active since May 07, 2015
12081 W ALAMEDA PKWY STE 438, LAKEWOOD, CO 80228(303) 551-3643 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stone Mountain Healthcare, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONE MOUNTAIN HEALTHCARE, PC (NPI 1851779169) is a healthcare organization registered as a family medicine in Lakewood, Colorado and active in the NPI registry since May 2015. The organization maintains a secondary practice location in Broomfield and lists Elizabeth Kelts, President, as its authorized official.

NPPES Registry Identity

NPI1851779169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTONE MOUNTAIN HEALTHCARE, PC
Location Address12081 W ALAMEDA PKWY STE 438Lakewood, CO 80228-2701
Mailing Address14774 Fenton StBroomfield, CO 80020-6116 · (303) 465-3316 · Fax (303) 465-3646
Phone(303) 551-3643
Organization SubpartNo
Authorized OfficialElizabeth KeltsPresident · (303) 465-3316
Enumeration DateMay 7, 2015
Last NPPES UpdateJuly 30, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1851779169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 43943
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12081 W ALAMEDA PKWY STE 438, Lakewood, CO 80228
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Secondary Practice Location 1

Location 114774 Fenton StBroomfield, CO 80020-6116 · Phone (303) 465-3316 · Fax (303) 465-3646

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAIMEH HEYDAR-HOSSEINI NURSE PRACTITIONER
Nurse Practitioner (Family)
12081 W ALAMEDA PKWY STE 438
LAKEWOOD, CO 80228
Jefferson County (303) 551-3643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stone Mountain Healthcare, PC's NPI number?

The NPI number for Stone Mountain Healthcare, PC is 1851779169. It was assigned to this organization in the NPPES registry on May 7, 2015.

Where is Stone Mountain Healthcare, PC located?

Stone Mountain Healthcare, PC is located at 12081 W Alameda Pkwy Ste 438, Lakewood, CO 80228. The listed phone number is (303) 551-3643.

What is Stone Mountain Healthcare, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stone Mountain Healthcare, PC was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.