Active NPI
Stephen Jay Kinsley, M.D.
- Emergency Medicine Physician
- North Bend, OR
National Provider Identifier
1205812732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35-05-7309
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Military Health Care Provider
- North Bend, OR
- NPI 1770608424
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.