Active NPI
Richard W Stahlhut, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Columbia, MO
National Provider Identifier
1376640185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 01031951A
- Practice address
- 194 W Green Meadows Rd
Columbia, MO 65203-3635 - Phone
- (585) 752-8883
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 01031951A | IN | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 01031951A | IN | Primary |
Addresses
Primary practice location
194 W Green Meadows Rd
Columbia, MO 65203-3635
Mailing address
194 W Green Meadows Rd
Columbia, MO 65203-3635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01031951A | Other | IN | STATE OF INDIANA PHYSICIAN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031951A | IN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1376640185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 W GREEN MEADOWS RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 W GREEN MEADOWS RD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033635",
"telephone_number": "585-752-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHLHUT",
"first_name": "RICHARD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "IN",
"license": "01031951A",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IN",
"license": "01031951A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF INDIANA PHYSICIAN LICENSE NUMBER",
"identifier": "01031951A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.