Provider Demographics
NPI:1174521934
Name:STAHR, RICHARD F (DO)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:STAHR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 E WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2157
Mailing Address - Country:US
Mailing Address - Phone:740-363-1304
Mailing Address - Fax:740-548-6132
Practice Address - Street 1:377 E WILLIAM ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2157
Practice Address - Country:US
Practice Address - Phone:740-363-1304
Practice Address - Fax:740-548-6132
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3400365102207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0606222Medicaid
OHA16260Medicare UPIN
OH0575033Medicare PIN