Provider Demographics
NPI:1487459517
Name:STELJES MD PC
Entity type:Organization
Organization Name:STELJES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINDFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-742-4296
Mailing Address - Street 1:2145 GREEN VISTA DR STE 112
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8513
Mailing Address - Country:US
Mailing Address - Phone:775-359-1660
Mailing Address - Fax:775-201-8376
Practice Address - Street 1:2145 GREEN VISTA DR STE 112
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8513
Practice Address - Country:US
Practice Address - Phone:775-359-1660
Practice Address - Fax:775-201-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty