Healthcare Provider Details
I. General information
NPI: 1619010378
Provider Name (Legal Business Name): RICHARD ERIC SCHALER M.D., F.A.C.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9218 KIMMER DR STE 201
LONE TREE CO
80124-6733
US
IV. Provider business mailing address
9218 KIMMER DR STE 201
LONE TREE CO
80124-6733
US
V. Phone/Fax
- Phone: 303-788-6632
- Fax: 303-788-6719
- Phone: 303-788-6632
- Fax: 303-788-6719
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 28617 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207YS0123X |
| Taxonomy | Facial Plastic Surgery Physician |
| License Number | 28617 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0007X |
| Taxonomy | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| License Number | 28617 |
| License Number State | CO |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207YX0905X |
| Taxonomy | Otolaryngology/Facial Plastic Surgery Physician |
| License Number | 28617 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: