Nathaniel Stillman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AP295 Issued in MA

Practice address

42 Russell Rd
South Weymouth, MA 02190-2726

Phone

(781) 335-9438

NPI assigned

Jun 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1497914600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RUSSELL RD",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902726",
            "telephone_number": "781-335-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RUSSELL RD",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902726",
            "telephone_number": "781-335-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "NATHANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "AP295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Hom,MD
• Steven F Starr, MD
• Tara Marie Steele, CRNA
• James Harris Stephen, MD
• Steven D Garland DMD PC
• Joshua West Stuhlfaut, MD
• Henry Su, MD, PHD
• Domenic F. Sulfaro Jr., PT, DPT, LATC
• Richard F Sullivan, MD
• James N Suojanen, MD

• Medical Physician Assistant in South Weymouth, MA
• Providers in South Weymouth, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.