Provider Demographics
NPI:1578561726
Name:MAHER, STEPHEN C (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:MAHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:BOX B430
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-4470
Practice Address - Fax:720-777-7866
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053106207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA32911OtherLABOR AND INDUSTRIES
IDK3523OtherBLUE CROSS OF ID
ID003833200OtherPUBLIC ASSISTANCE
WA180013223OtherRAILROAD MEDICARE
ID000010003059OtherASURIS(REGENCE BS OF ID)
WAWA0690OtherNORTHWEST BENEFIT NETWORK
WAA006OtherTRICARE
WA1828508Medicaid
WA564OtherGROUP HEALTH
WAMA5267OtherASURIS(REGENCE NW HEALTH)
IDK3523OtherBLUE CROSS OF ID
WA180013223OtherRAILROAD MEDICARE
WAA006OtherTRICARE