Active NPI
William K Stiles, MD
- Cardiovascular Disease Physician
- Salem, OR
National Provider Identifier
1194726935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD13512
- Practice address
- 885 Mission St SE
Salem, OR 97302-6222 - Phone
- (503) 585-5585
- Fax
- (503) 399-1659
- NPI assigned
- Aug 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD13512 | OR | Primary |
Addresses
Primary practice location
885 Mission St SE
Salem, OR 97302-6222
Mailing address
885 Mission St SE
Salem, OR 97302-6222
Phone (503) 585-5585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283358 | Medicaid | OR | |
| 060044831 | Other | OR | RAILROAD MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13512 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1194726935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 MISSION ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973026222",
"telephone_number": "503-585-5585",
"fax_number": "503-399-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 MISSION ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973026222",
"telephone_number": "503-585-5585",
"fax_number": "503-399-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "WILLIAM",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD13512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283358",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060044831",
"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 Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.