PHILLIP EDWARD STILES (NPI# 1972528313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972528313 |
| Entity Type | Individual |
| Full Name | PHILLIP EDWARD STILES |
| Credential | PA-C |
| Practice Address |
1010 Fairway Dr Freeport IL 61032-6600 |
| Mailing Address |
421 W Exchange St Po Box 268 Freeport IL 61032-4008 |
| Practice Telephone | 8155997831 |
| Mailing Telephone | 8155997958 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 422 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1010 FAIRWAY DR |
| City | FREEPORT |
| State | IL |
| Zip Code | 61032-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070933 | Susan K. Rahn | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2005-06-01 |
| 1073163838 | Tamisha Verner | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1629628326 | Heather Lutz | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-13 |
| 1265081681 | Judy Cullor | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2019-09-09 |
| 1336623453 | Jane Addams Community Mental Health Center | Clinic/Center | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2018-09-25 |
| 1003334905 | Madison E Pickard | Physical Therapist | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-08-31 |
| 1114449519 | Lynda A Shiro | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-07-07 |
| 1699212043 | Timothy Rupnow | Nurse Practitioner | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2017-01-24 |
| 1972973238 | Cody Gallagher | Physical Medicine & Rehabilitation | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2015-09-30 |
| 1578993929 | Allyson Wilken | Physical Therapy Assistant | 1010 Fairway Dr, Freeport, IL 61032-6600 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517713 | Saad Awan | Pharmacist | 2545 Illinois 26 S, Freeport, IL 61032 | 2020-10-30 |
| 1891354460 | Freeport Chiropractic LLC | Chiropractor | 2 W Stephenson St, Freeport, IL 61032 | 2019-06-07 |
| 1487168373 | Lindsey Rae Harris-baker | Speech-Language Pathologist | 1802 W Laurel St, Freeport, IL 61032 | 2017-11-30 |
| 1861871246 | Pearl Pavilion LLC | Skilled Nursing Facility | 910 Kiwanis Drive, Freeport, IL 61032 | 2015-05-19 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1700135803 | April Braband | Specialist | 421 Exchange, Freeport, IL 61032 | 2012-09-05 |
| 1518198662 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1013 W Loras Dr, Suite A, Freeport, IL 61032 | 2009-08-06 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1023244290 | Allies In Health Sc | Chiropractor | 418 W Meadows Dr., Freeport, IL 61032 | 2009-06-02 |
| 1912146614 | Kayla Nicole Rodebaugh | Specialist/Technologist | 1010 Fairway Drive, Freeport, IL 61032 | 2009-02-19 |
| Find all providers in zip 61032 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539705 | Rocio Romero | Physician Assistant | 385 W Sunrise Hwy, Freeport, NY 11520-3120 | 2017-10-23 |
| 1083154793 | Chelsea Elizabeth Rios | Physician Assistant | 129 W Sunrise Hwy, Freeport, NY 11520-3559 | 2017-02-28 |
| 1497115687 | Sylvana Lora | Physician Assistant | 53 W Merrick Rd, Freeport, NY 11520-3709 | 2016-03-01 |
| 1881097186 | Desiree Viviano | Physician Assistant | 5 Jeffrey Ct, Freeport, NY 11520-5711 | 2014-09-30 |
| 1811316508 | Patricia Mompoint | Physician Assistant | 71 Rose St, Freeport, NY 11520-4321 | 2014-04-10 |
| 1407292220 | Lauren Neighbors Youtz | Physician Assistant | 479 E. Hwy 20, Freeport, FL 32439 | 2013-05-20 |
| 1902115595 | David Johnson | Physician Assistant | 939 S Long Beach Ave, Freeport, NY 11520-6306 | 2010-09-29 |
| 1891946240 | Cedric Charles Wallace | Physician Assistant | 20 Coolidge Pl, Freeport, NY 11520-2543 | 2008-10-03 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1609817188 | Nicole Ann Leggio | Physician Assistant | 60 Guy Lombardo Ave, Jacqueline Delmont Md PC, Freeport, NY 11520 | 2006-06-08 |
| Find all providers in FREEPORT | ||||
Please comment or provide details below to improve the information on PHILLIP EDWARD STILES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.