Timothy Carl Stiles, DME SUPPLIER

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

6022 Atlantic Blvd Ste 2
Jacksonville, FL 32211-7503

Phone

(904) 722-1882

Fax

(904) 726-0730

NPI assigned

Apr 21, 2022

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• DC Stiles, Inc

  • Pharmacist
  • Jacksonville, FL
  • NPI 1689682148
  NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1194469684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 ATLANTIC BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117503",
            "telephone_number": "904-722-1882",
            "fax_number": "904-726-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 ATLANTIC BLVD STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117503",
            "telephone_number": "904-722-1882",
            "fax_number": "904-726-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "TIMOTHY",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "credential": "DME SUPPLIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Stiffler, ATC
• Jennifer L. Stifter, PA-C
• Ashley Stiglich
• Denise Ann Stiles-Yount, RPH
• Joel Stiles, PA
• Angela Still
• April Jennifer Harris Still, AAC
• Charcy Rene Stiller, MARTN, LAT, ATC
• Lauren Ann Stilley, SLP
• Stillwaters Psychology, LLC

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.