Stillman Radiology PS

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OP60140265 Issued in WA

Legal business name

STILLMAN RADIOLOGY PS

Practice address

439 SW 345TH PL
Federal Way, WA 98023-8356

Phone

(253) 632-1189

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charles Stillman, D.O.

Title

President

Phone

(253) 632-1189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1689998908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 N CALIFORNIA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033405",
            "telephone_number": "253-632-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 SW 345TH PL",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238356",
            "telephone_number": "253-632-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLMAN RADIOLOGY PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-632-1189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP60140265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rae Stewart
• Lana Stewart, CD(PALS)
• Raymond A. Stewart, CDP
• Vanessa Stewart, MA, LMHC
• John Stigen
• Diana Therese Marquez Stimac, P.T.
• Elisabeth Danielle Stipp, LMP
• Sarah Jane Stocks, OTR
• Billie J Stockton
• Daniel Jeremiah Stokes

• Diagnostic Radiology Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.