Active NPI
Geoffrey D Stiller, M.D.
- Surgery Physician
- Spokane, WA
National Provider Identifier
1952345514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00044186
- Practice address
- 805 W 5TH Ave Ste 619
Spokane, WA 99204-2802 - Phone
- (509) 747-5773
- Fax
- (509) 960-4063
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00044186 | WA | |
| Specialist | 174400000X | M8333 | ID | |
| Surgery Physician | 208600000X | M8333 | ID | |
| Surgery Physician | 208600000X | MD00044186 | WA | Primary |
Addresses
Primary practice location
805 W 5TH Ave Ste 619
Spokane, WA 99204-2802
Mailing address
805 W 5TH Ave Ste 619
Spokane, WA 99204-2802
Phone (509) 747-5773
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807010600 | Medicaid | ID | |
| 2128848 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Minnesota Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
805 W 5TH Ave
Suite 619
Spokane, WA 99204-2802
Phone (509) 747-5773
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8333 | ID | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoffrey Stiller MD PS | Surgery | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Locations
805 W 5th Ave
Ste 619
Spokane, WA 99204
Phone (509) 747-5773
Organizations & group practices 2
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.
-
- Surgery Physician
- Spokane, WA
- NPI 1225691090
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1952345514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W 5TH AVE STE 619",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042802",
"telephone_number": "509-747-5773",
"fax_number": "509-960-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W 5TH AVE STE 619",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042802",
"telephone_number": "509-747-5773",
"fax_number": "509-960-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLER",
"first_name": "GEOFFREY",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00044186",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M8333",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ID",
"license": "M8333",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00044186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807010600",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2128848",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.