DR. RICHARD LYLE STALLER D.O. NPI 1962469742

NPI Information

  • NPI: 1962469742
  • Provider Name: DR. RICHARD LYLE STALLER, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 30940 STAGECOACH BLVD
    SUITE E290
    EVERGREEN, CO
    ZIP 80439
  • Phone: (303) 674-8153

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NPI Details

DR. Richard Lyle Staller, D.O. is a family medicine in Evergreen, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Richard Lyle Staller, D.O. NPI is 1962469742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30940 STAGECOACH BLVD
SUITE E290
EVERGREEN, CO
ZIP 80439-984
Phone: (303) 674-8153
Fax: (303) 674-8303

The enumeration date for this NPI number is 4/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25525COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
138662OTHERCOLORADOBCBS
2524148MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
301255256MEDICAIDCOLORADO
4D24647MEDICARE UPINCOLORADO
51016326OTHERCOLORADOAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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