EILEEN WELDON STILES NP NPI 1114997244

NPI Information

NPI: 1114997244
Provider Name: EILEEN WELDON STILES, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
520 MEDICAL CENTER DRIVE, SUITE 201
MEDFORD, OR
ZIP 97504
Phone: (541) 789-5710
Get Directions

Eileen Weldon Stiles, NP is an adult health nurse practitioner in Medford, OR. Eileen Weldon Stiles, NP NPI is 1114997244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 MEDICAL CENTER DRIVE, SUITE 201
MEDFORD, OR
ZIP 97504-434
Phone: (541) 789-5710
Fax: (541) 789-5711

The NPI 1114997244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	201391437NN-PP	OREGON	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	26NN07370300	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q07997	MEDICARE UPIN	NEW JERSEY
2	076230B27	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	GROUP MEDICARE
3	2364882	OTHER	NEW JERSEY	UNITED HC
4	191642	OTHER	NEW JERSEY	AMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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