Stillhouse Emergency Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STILLHOUSE EMERGENCY PHYSICIANS

Practice address

3816 S Clear Creek
Suite D
Killeen, TX 76549-4400

Phone

(254) 554-8773

NPI assigned

Oct 2, 2006

Last updated

Sep 16, 2008By 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

Mr. Matthew Sheldon Mitchell

Title

Billing Manager

Phone

(254) 526-5970

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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.

• Charles Walter Mitchell, M.D.

  • Family Medicine Physician
  • Killeen, TX
  • NPI 1285730705
  Medicare reassignment Care Compare group NPD
• Karen-Mae Mitchell, MD

  • Public Health & General Preventive Medicine Physician
  • Killeen, TX
  • NPI 1508846346
  Medicare reassignment Care Compare group NPD
• Stephen Ralph, M.D.

  • Internal Medicine Physician
  • Killeen, TX
  • NPI 1386726735
  Medicare reassignment Care Compare group NPD
• Christopher Andrew Day, PA-C

  • Physician Assistant
  • Lockhart, TX
  • NPI 1063144681
  Medicare reassignment NPD
• Dean Robert Raein, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1366177248

  TX

  Medicare reassignment NPD
• Jacquelene Mitchell Adiele, M.D.

  • Internal Medicine Physician
  • Killeen, TX
  • NPI 1609896497
  NPD (past)
• Minoo Bassari, MD

  • Family Medicine Physician
  • Temple, TX
  • NPI 1497768691
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1619060712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10308",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470308",
            "telephone_number": "254-554-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK",
            "address_2": "SUITE D",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "254-554-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLHOUSE EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SHELDON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "254-526-5970",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0026KV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danasia Stewart
• Jacob Mann Stewart, APRN
• Latonia Stewart
• Patrick L Stewart Jr., RBT
• Skylar Stewart
• Carolyn T Stimpson, LCDC CI
• James T Stinnett, M.D.
• Lucinda Gersbach Stinson, APRN, BC, MSN
• Robert Farrell Stokes Jr., PA-C
• Brittany Nicole Stolicki

• Family Medicine Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.