Philip Charles Stillman, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G50973 Issued in CA

Practice address

1212 Coloma Way Ste a
Roseville, CA 95661-4646

Phone

(916) 624-8990

Fax

(916) 588-3889

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Group Anesthesia Services Inc., a Medical Corporation

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1548218944
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1356452189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 OAKHURST WAY",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589661",
            "telephone_number": "650-814-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 COLOMA WAY STE A",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614646",
            "telephone_number": "916-624-8990",
            "fax_number": "916-588-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "PHILIP",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G50973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042170",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sierraph.org",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1212 Coloma Way Ste A",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956614646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Stewart
• Kristi Stewart, LCSW
• Theresa Lynn Stewart, LPT
• Dana Duval Stieglitz, N.P.
• Charis Joy Stiles, LCSW
• Benzyl Stokes
• Julia Ellen Stolarik, CPHT
• Maxim Stolyarchuk
• Dolly A. Stondell, MD
• Aisha Rahman Stone, LMFT

• Anesthesiology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.