DDX Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G22053 Issued in CA

Legal business name

DDX MEDICAL CORPORATION

Practice address

6 Woodland Rd
Suite 102
Saint Helena, CA 94574-9501

Phone

(707) 963-8842

Fax

(707) 963-3713

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Stiles, M.D.NPI 1831118371

Title

Owner

Phone

(707) 963-8842

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas E Stiles, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Saint Helena, CA
  • NPI 1831118371
  NPD (past) Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336210657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "ANGWIN",
            "state": "CA",
            "postal_code": "945086065",
            "telephone_number": "707-963-8842",
            "fax_number": "707-963-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD",
            "address_2": "SUITE 102",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-963-8842",
            "fax_number": "707-963-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDX MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-963-8842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corvo Medical Corporation
• Matthew Corvo, MD
• Crutcher'S Serenity House, Inc.
• Darleen H Hemerlin DDS Inc
• Janessa Daugherty
• Fidel Delgadillo, DDS
• Pauline Demetrakopulos, D.D.S.
• Olivia Dempster
• Jennifer L Dietrich, MD
• Monica S Divakaruni, MD

• Specialist in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.