Vincent Gerard Stilger, HSD, ATC

Primary specialty

Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X

License

AT001031 Issued in WV

Practice address

375 Birch St
West Virginia University
Morgantown, WV 26505-3418

Phone

(304) 293-0872

Fax

(304) 293-4641

NPI assigned

Mar 27, 2015

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1720472749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S PIERPONT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084147",
            "telephone_number": "304-594-0237",
            "fax_number": "304-293-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BIRCH ST",
            "address_2": "WEST VIRGINIA UNIVERSITY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053418",
            "telephone_number": "304-293-0872",
            "fax_number": "304-293-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILGER",
        "first_name": "VINCENT",
        "middle_name": "GERARD",
        "credential": "HSD, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "WV",
            "license": "AT001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Stickles
• Sarah Elizabeth Stiles, APRN, FNP-C
• Spencer Ray Stiles
• John Stilgenbauer, PHARM D
• Seth Stilgenbauer
• Stillwater LLC
• Katherine Stillwell, PTA
• Rebecca Stilwell, MA, P-LPC
• Teresa Stine
• Teresa Stire

• Sports Medicine (Preventive Medicine) Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Sports Medicine (Preventive Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.