Active NPI
Curt Carlton Stilp, PA-C
- Physician Assistant
- Salem, OR
National Provider Identifier
1033191630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01431
- Practice address
- 1600 State St
Salem, OR 97301-4257 - Phone
- (503) 540-6300
- Fax
- (503) 540-6404
- NPI assigned
- Nov 18, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085001753 | IL | |
| Surgical Physician Assistant | 363AS0400X | PA01431 | OR | |
| Physician Assistant | 363A00000X | PA01431 | OR | Primary |
Addresses
Primary practice location
1600 State St
Salem, OR 97301-4257
Mailing address
1600 State St
Salem, OR 97301-4257
Phone (503) 540-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21604007 | Other | IL | BSIL |
| 970030563 | Other | IL | RAILROAD MEDICARE |
| 500606307 | Medicaid | OR |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085001753 | IL | MD | Physician Assistant |
| PA01431 | OR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1033191630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014257",
"telephone_number": "503-540-6300",
"fax_number": "503-540-6404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILP",
"first_name": "CURT",
"middle_name": "CARLTON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085001753",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA01431",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSIL",
"identifier": "21604007",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970030563",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500606307",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.