Provider Demographics
NPI:1457417594
Name:SEARS, STEPHEN R (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:R
Last Name:SEARS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3702 S TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3624
Mailing Address - Country:US
Mailing Address - Phone:970-207-9773
Mailing Address - Fax:970-207-1893
Practice Address - Street 1:2555 E 13TH ST STE 220
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5136
Practice Address - Country:US
Practice Address - Phone:970-669-5432
Practice Address - Fax:970-461-6275
Is Sole Proprietor?:No
Enumeration Date:2006-12-30
Last Update Date:2021-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO46120207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO54725526Medicaid
P00684093OtherMEDICARE RAILROAD
WY125871100Medicaid
NE84081574413Medicaid
NE84081574413Medicaid