Individual provider Active NPI

Stephen Jay Kinsley, M.D.

  • Emergency Medicine Physician
  • North Bend, OR
National Provider Identifier
1205812732
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-05-7309 Issued in OH
Practice address
Uscg Sector-Air Station North Bend
2000 Connecticut Ave
North Bend, OR 97459
Phone
(541) 756-9237
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-05-7309 OH Primary

Addresses

Primary practice location

Uscg Sector-Air Station North Bend
2000 Connecticut Ave
North Bend, OR 97459

Mailing address

67266 Wild Rhodie Dr
North Bend, OR 97459-8681
Phone (541) 756-2421

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

Practice roles

OrganizationSpecialtyStatusNew patients
US Coast Guard Medical Clinic North Bend Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205812732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67266 WILD RHODIE DR",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974598681",
            "telephone_number": "541-756-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCG SECTOR-AIR STATION NORTH BEND",
            "address_2": "2000 CONNECTICUT AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "97459",
            "telephone_number": "541-756-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "STEPHEN",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-05-7309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.