Healthcare Provider Details

I. General information

NPI: 1457417594
Provider Name (Legal Business Name): STEPHEN R SEARS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9403 CROWN CREST BLVD STE 420
PARKER CO
80138-9049
US

IV. Provider business mailing address

3702 S TIMBERLINE RD
FORT COLLINS CO
80525-3624
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4720
  • Fax: 303-925-4721
Mailing address:
  • Phone: 970-207-9773
  • Fax: 970-207-1893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number46120
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: