Active NPI
Roy Stillerman, M.D.
- Pulmonary Disease Physician
- Plymouth, MA
National Provider Identifier
1225077589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 44136
- Practice address
- 275 Sandwich St
Plymouth, MA 02360-2183 - Phone
- (508) 746-2000
- Fax
- (508) 830-2502
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 44136 | MA | Primary |
Addresses
Primary practice location
275 Sandwich St
Plymouth, MA 02360-2183
Mailing address
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16847 | Other | MA | HEALTH NEW ENGLAND |
| 2069814 | Medicaid | MA | |
| 044136 | Other | MA | TUFTS HEALTH PLAN |
| 000000033498 | Other | MA | BMC HEALTH NET PLAN |
| 23514 | Other | MA | HARVARD PILGRIM |
| N51713 | Other | MA | BLUE CROSS BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1225077589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602183",
"telephone_number": "508-746-2000",
"fax_number": "508-830-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SANDWICH ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602183",
"telephone_number": "508-746-2000",
"fax_number": "508-830-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLERMAN",
"first_name": "ROY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "44136",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "16847",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069814",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "044136",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET PLAN",
"identifier": "000000033498",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "23514",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "N51713",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.