Lyall Carlton Stilp II, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

16735-020 Issued in WI

Practice address

2133 Willow LN
Oshkosh, WI 54902-9121

Phone

(920) 410-3381

NPI assigned

Apr 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1144464199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2742",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549032742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 WILLOW LN",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549029121",
            "telephone_number": "920-410-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILP",
        "first_name": "LYALL",
        "middle_name": "CARLTON",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "WI",
            "license": "16735-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M Stephenson, APNP
• Julia Stephenson, RDH
• Juliette P M Sterkens, AUD
• Nicole Sophia Stevens, OTR
• Susan M Stickney, CRNA
• Karen Jackson Stindt, MS OTR
• Julie A Stockwell, LCSW
• Paula Stone, SLP
• Paul Stephen Strait, MD
• Lee Michael Stratton, M.D.

• Sports Medicine (Orthopaedic Surgery) Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.