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DR. RICHARD LYLE STALLER D.O.
NPI 1962469742
Family Medicine in Evergreen, CO

Active since April 27, 2006
30940 STAGECOACH BLVD, SUITE E290, EVERGREEN, CO 80439(303) 674-8153(303) 674-8303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Lyle Staller D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD LYLE STALLER D.O. (NPI 1962469742) is an individual family medicine provider in Evergreen, Colorado, licensed in Colorado (25525) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1962469742
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD LYLE STALLERCredential: D.O.
Location Address30940 STAGECOACH BLVD, SUITE E290Evergreen, CO 80439-7984
Mailing Address30940 Stagecoach Blvd, Suite E290Evergreen, CO 80439-7984 · (303) 674-8153 · Fax (303) 674-8303
Phone(303) 674-8153
Fax(303) 674-8303
Sole ProprietorYes
Enumeration DateApril 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962469742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 25525
Definition
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.
30940 STAGECOACH BLVD, Evergreen, CO 80439
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Other Identifiers 5

Other38662CO · Bcbs
Medicare ID-Type Unspecified524148CO
Medicaid01255256CO
Medicare UPIND24647CO
Other1016326CO · Aetna

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOE LARSON D.D.S.
Dentist (General Practice)
30940 STAGECOACH BLVD, STE E250
EVERGREEN, CO 80439
Jefferson County (303) 674-6777
JEANNINE BEEBE RAUCH PT
Physical Therapist
30940 STAGECOACH BLVD, SUITE E-110
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. JOHN RUFF MAY PT, DPT
Physical Therapist
30940 STAGECOACH BLVD, E-110
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. THERESA ANN DONATI MD
Internal Medicine
30940 STAGECOACH BLVD, STE 270E
EVERGREEN, CO 80439
Jefferson County (303) 674-6062
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
30940 STAGECOACH BLVD
EVERGREEN, CO 80439
Jefferson County (303) 674-6064
MS. PATRICIA A. MCCORD PT, FAAOMPT
Physical Therapist
30940 STAGECOACH BLVD
EVERGREEN, CO 80439
Jefferson County (303) 674-1594
DR. ANNE MCLEAN M.D.
Internal Medicine
30940 STAGECOACH BLVD, STE 270E
EVERGREEN, CO 80439
Jefferson County (303) 674-6062
ELK RIDGE FAMILY PHYSICIANS INC
Family Medicine
30940 STAGECOACH BLVD, SUITE E290
EVERGREEN, CO 80439
Jefferson County (303) 674-8153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Staller's NPI number?

The NPI number for Richard Staller is 1962469742. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Richard Staller located?

Richard Staller practices at 30940 Stagecoach Blvd Suite E290, Evergreen, CO 80439. The listed phone number is (303) 674-8153.

What is Richard Staller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard Staller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.