Active NPI
William F Stiles III, D.O.
- Urology Physician
- Fort Walton Beach, FL
National Provider Identifier
1013957240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OS14595
- Practice address
- 1032 Mar Walt Drive
Suite 250
Fort Walton Beach, FL 32547 - Phone
- (850) 863-0883
- Fax
- (850) 862-0188
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS14595 | FL | Primary |
Addresses
Primary practice location
1032 Mar Walt Drive
Suite 250
Fort Walton Beach, FL 32547
Mailing address
1032 Mar Walt Drive
Suite 250
Fort Walton Beach, FL 32547
Phone (850) 863-0883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 777193 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1765 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Sedona Family Practice PLLC | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13650/brand/1/csg/1/fhir/r4
- william.stilesiii@hca5.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Physician Assistant
- Sedona, AZ
- NPI 1114384609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1013957240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 MAR WALT DRIVE",
"address_2": "SUITE 250",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-863-0883",
"fax_number": "850-862-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 MAR WALT DRIVE",
"address_2": "SUITE 250",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "32547",
"telephone_number": "850-863-0883",
"fax_number": "850-862-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "WILLIAM",
"middle_name": "F",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "OS14595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "777193",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.