Geoffrey Stiller MD PS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GEOFFREY STILLER MD PS

Doing business as

Stiller Aesthetics

Practice address

805 W 5TH Ave Ste 619
Spokane, WA 99204-2802

Phone

(509) 998-1865

NPI assigned

Apr 17, 2019

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geoffrey David Stiller, MDNPI 1952345514

Title

Owner/Ceo

Phone

(509) 747-5773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stiller Aesthetics Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey D Stiller, M.D.

  • Surgery Physician
  • Spokane, WA
  • NPI 1952345514
  Medicare reassignment NPD Authorized official
• Kristin Ann Simpson, ARNP

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1740746247
  Medicare reassignment NPD

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1225691090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W 5TH AVE STE 619",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042802",
            "telephone_number": "509-747-5773",
            "fax_number": "509-960-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W 5TH AVE STE 619",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042802",
            "telephone_number": "509-998-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY STILLER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "STILLER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "509-747-5773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128848",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://stillerasethetics.ema.md/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 W 5th Ave Ste 619",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stilleraesthetics.ema.md",
            "affiliation": "N",
            "address_1": "805 W 5th Ave Ste 619",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stiller Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stiller Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Gentile, PHD
• Kaleb J Gentry
• Rachel Gentry
• Ruslana Gentry
• Sharon L Genung, MD
• Tiffani Chevill Geordan
• George H Nauert DDS PS
• Alysa Rose George, DMD
• Amber George, CRNA
• Austin George

• Surgery Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.