DR. CHARLES ALLEN STILLMAN D.O. NPI 1508836453

NPI Information

  • NPI: 1508836453
  • Provider Name: DR. CHARLES ALLEN STILLMAN, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 546 E PINE ST
    STOCKTON, CA
    ZIP 95204
  • Phone: (209) 467-1000

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NPI Details

DR. Charles Allen Stillman, D.O. is a diagnostic radiology radiology in Stockton, CA with 31 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Charles Allen Stillman, D.O. NPI is 1508836453. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1995

The provider's business location address is:

546 E PINE ST
STOCKTON, CA
ZIP 95204-525
Phone: (209) 467-1000
Fax: (209) 467-7335

The NPI 1508836453 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)

The enumeration date for this NPI number is 1/24/2006 and was last updated on 3/25/2020.

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
12085R0202XRadiologyDiagnostic Radiology20A11027CALIFORNIAYes

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
11508836453MEDICAIDCALIFORNIA

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: 11/21/2025

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