Larry Gerald Stahl, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22556 Issued in CO

Practice address

3090 Aberdeen LN
Grand Junction, CO 81504-6261

Phone

(970) 523-1387

NPI assigned

Jul 28, 2006

Last updated

Nov 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1649284290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 ABERDEEN LN",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046261",
            "telephone_number": "970-523-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 ABERDEEN LN",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815046261",
            "telephone_number": "970-523-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "LARRY",
        "middle_name": "GERALD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01225564",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Hospital and Medical Center, Inc. (Intermountain Health St Mary's Regional Hospital)
• St. Marys Hospital and Medical Center Inc (St. Mary's Medical Center)
• Dana Lee Jean Stabler, LPC, NCC
• Stacey Wood (Grand Junction Physical Therapy)
• Alice Renee Stahl, R.N.
• Linda S. Stahl, FNP
• Marissa Grace Stahl
• Vedrana Stanarevic
• Heather Stanford, RN
• Nicole Stanley, FNP

• Family Medicine Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.