Donald E Stader

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DR.0054731 Issued in CO

Practice address

501 E Hampden Ave
Englewood, CO 80113-2702

Phone

(303) 788-6911

Fax

(303) 306-7753

NPI assigned

Apr 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Donald E Stader Professional name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carepoint Emergency Medicine, PLLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1134590318
  Medicare reassignment NPD
• Carepoint P.C.

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1275516346
  Medicare reassignment NPD
• Lincoln Community Hospital

  • Critical Access Hospital
  • Hugo, CO
  • NPI 1720107519
  Medicare reassignment NPD
• Epifluence Health PLLC

  • Addiction Medicine (Internal Medicine) Physician
  • Hugo, CO
  • NPI 1437084522
  NPD Authorized official
• Keefe Memorial Health Service District

  • Critical Access Hospital
  • Cheyenne Wells, CO
  • NPI 1366840688
  Medicare reassignment
• Wray Community District Hospital

  • Critical Access Hospital
  • Wray, CO
  • NPI 1083640239
  Medicare reassignment
• Wray Community District Hospital

  • General Practice Physician
  • Wray, CO
  • NPI 1477587202
  Medicare reassignment
• Lincoln Community Hospital

  • Family Medicine Physician
  • Byers, CO
  • NPI 1609507409
  NPD
• Salem Emergency Physicians Service, PC

  • Emergency Medicine Physician
  • Salem, OR
  • NPI 1063454395
  NPD (past)

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1861718017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173862",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173862",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-788-6911",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STADER",
        "first_name": "DONALD",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "164580",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0054731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89655826",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "STADER",
            "middle_name": "E",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• SSC Englewood Operating Company LLC
• SSC Englewood Operating Company LLC
• St. Charbel Health, PLLC
• Shad Michael St. Louis, MS, OTR, CDRS
• Jessica Louise Stackpool, LPC
• Letti Nora Stafford, DO
• Cosette M. Stahl, D.O.
• Mary Stall, PSY.D.
• Wesley Stanton, DDS
• Patricia A Staples, MSN, FNP-C

• Emergency Medicine Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.