Maria A Stiles, M.D.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

12549 Issued in PR

Practice address

206 Rescia Ave
Rainbow City, AL 35906-5933

Phone

(205) 933-8101

Fax

(256) 413-7813

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maria A Massanet Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1124150164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MACON DR SE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652659",
            "telephone_number": "205-933-8101",
            "fax_number": "256-413-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 RESCIA AVE",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065933",
            "telephone_number": "205-933-8101",
            "fax_number": "256-413-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "12549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "12549",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MASSANET",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane Marie Stargell, OTR/L
• Ingrid Boike Staton
• Kamila Leigh Staton, PHARMD
• Jessica Courtney Stephens, PHARM. D.
• William S Stewart, D.C.
• Kenneth A Street, LPC
• Super Bee Discount Pharmacy, Inc.
• Amber M Talton
• Joshua Cameron Taylor, B.S., D.C.
• The Johnson Counseling Center

• Health Service Clinic/Center in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Health Service Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.