Individual provider Active NPI

Darla Jo Stiles, PA-C

  • Physician Assistant
  • Medford, OR
National Provider Identifier
1033538764
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3524 Heathrow Way
Medford, OR 97504-4004
Phone
(541) 646-3505
Fax
(541) 646-3553
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA189829 OR
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3524 Heathrow Way
Medford, OR 97504-4004

Mailing address

3524 Heathrow Way
Medford, OR 97504-4004
Phone (541) 646-3505

Other practice location 1

8385 Division Rd
White City, OR 97503
Phone (541) 826-5853

Other practice location 2

5295 Sun Valley Blvd
Sun Valley, NV 89433
Phone (775) 870-4334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221002051 OR Practitioner - Physician Assistant 5395961916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rogue Valley PhysiciansGroup PAC ID 1850374240, 22 clinicians

Practice addresses (Care Compare)

2900 Doctors Park Dr
Medford, OR 97504-4348
Phone (541) 282-2208

2900 Doctors Park Dr
Suite 200
Medford, OR 97504-8198
Phone (541) 282-2208

3524 Heathrow Way
Medford, OR 97504-4004
Phone (541) 646-3505

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA189829ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rogue Valley Physicians PC CurrentSince Oct 11, 2022 Accepting new patients
Rogue Valley Physicians CurrentSince Oct 11, 2022 Accepting new patients
Rogue Community Health Past Accepting new patients

Locations

2900 Doctors Park Dr
Ste 250
Medford, OR 97504
Phone (541) 282-2208

3524 Heathrow Way
Medford, OR 97504
Phone (541) 646-3505

Interoperability endpoints

  • Direct secure messaging: darlajo.stiles.p1@direct.rvpdocs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1033538764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-646-3505",
            "fax_number": "541-646-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 HEATHROW WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044004",
            "telephone_number": "541-646-3505",
            "fax_number": "541-646-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8385 Division Rd",
            "address_purpose": "LOCATION",
            "city": "White City",
            "state": "OR",
            "postal_code": "97503",
            "country_code": "US",
            "telephone_number": "541-826-5853",
            "fax_number": "541-826-5843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5295 Sun Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "89433",
            "country_code": "US",
            "telephone_number": "775-870-4334",
            "fax_number": "775-870-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILES",
        "first_name": "DARLA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA189829",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.