Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen Samuel Haverly

Individual provider Emergency Medicine Physician · NPI 1114034550

Stephen Samuel Haverly is an Emergency Medicine in Durango, Colorado. Qualified in 2004, 22 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
22
Licensed in
CA, CO
In the registry since
2006
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1010 Three Springs Blvd
Durango, CO 81301-8296
Phone: (303) 306-7783
Fax: (303) 306-7753
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 42845 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A77557 (CA)

Record details

NPI number1114034550
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESApril 3, 2014
Mailing addressPo Box 17752, Denver, CO 80217-0752

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Durango