MEDICARE: DR. STEVEN T. CHETHAM M.D., F.A.C.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	35718	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316962376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN T. CHETHAM M.D., F.A.C.P.

Provider Business Mailing Address
First Line	:	382 S ARTHUR AVE
Second Line	:
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-3094
Country	:	US
Telephone Number	:	303-604-5000
Fax Number	:	720-890-0364

Provider Business Practice Location Address
First Line	:	1551 PROFESSIONAL LN UNIT 290
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80501-6970
Country	:	US
Telephone Number	:	303-604-5000
Fax Number	:	720-890-0364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/06/2020

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