DR. PAUL KREHL STILLWAGON


Address: 1828 W Plaza Dr, Winchester, VA 22601-6365
Phone: 5406629115

DR. PAUL KREHL STILLWAGON (NPI# 1265430052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265430052
Entity Type Individual
Full Name DR. PAUL KREHL STILLWAGON
Credential M.D.
Practice Address 1828 W Plaza Dr
Winchester
VA 22601-6365
Mailing Address Po Box 2076
Skyland
NC 28776-2076
Practice Telephone 5406629115
Practice Fax Number 5406650411
Mailing Telephone 8285752644
Mailing Fax Number 8283502174
Enumeration Date 2005-07-14
Last Update Date 2015-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207KA0200X Allergy & Immunology
Specialization: Allergy
0101039785 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 006082602 05
WV 0070369000 05
VA MOUNTAIN STATE BC/BS 001717682 01
WV MOUNTAIN STATE BC/BS 001717682 01
VA ANTHEM BC/BS 032685 01
VA MEDICARE PTAN VVI896A 01

Office Location

Street Address 1828 W PLAZA DR
City WINCHESTER
State VA
Zip Code 22601-6365

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568460350 Robert Clarkson Mcqueen Allergy & Immunology 1828 W Plaza Dr, Winchester, VA 22601-6365 2005-07-14
1427435759 Allergy Partners, Pllc Allergy & Immunology 1828 W Plaza Dr, Winchester, VA 22601-6365 2015-05-06
1891035564 Julie Petry Armstrong Nurse Practitioner 1828 W Plaza Dr, Winchester, VA 22601-6365 2013-02-18
1265728406 Aman Nasir Allergy & Immunology 1828 W Plaza Dr, Winchester, VA 22601-6365 2011-06-27
1114937620 Asthma & Allergy Center of The Northern Shenandoah Valley, Inc. Allergy & Immunology 1828 W Plaza Dr, Winchester, VA 22601-6365 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184288961 Michael Frederick Ellis Social Worker 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 2019-04-26
1437713542 Ann Marie Aldrich Nurse Practitioner 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 2019-04-24
1023570678 Ultimate Hearing Solutions Vi, LLC Durable Medical Equipment & Medical Supplies 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 2019-04-03
1992203574 Deborah K. Inaba Clinical Exercise Physiologist 1410 S Braddock St, Winchester, VA 22601 2018-01-29
1043728272 Emily Anne Griffin Registered Nurse 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 2018-01-23
1114431467 Alicia Moreno Billy Social Worker 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 2017-11-24
1558800391 Heather Leach Counselor 116 Piccadilly Street, Suite 12, Winchester, VA 22601 2017-02-13
1649718396 Hunt Country Health Services Home Health 31 S Braddock St Ste 106, Winchester, VA 22601 2017-02-02
1568830958 Megan Mcintyre Physical Therapist 3052 Valley Ave Ste 101, Winchester, VA 22601 2015-09-02
1093195299 Sara Elizabeth Archetti Speech-Language Pathologist Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 2015-06-02
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Taxonomy Information

Taxonomy Code 207KA0200X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology
Specialization Allergy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568460350 Robert Clarkson Mcqueen Allergy & Immunology 1828 W Plaza Dr, Winchester, VA 22601-6365 2005-07-14
1477067999 Asthma and Allergy Specialists PC Allergy & Immunology 955 Main St Ste 208, Winchester, MA 01890-4302 2017-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922610682 Kaufman Allergy Asthma and Immunology, Pllc Allergy & Immunology 8320 Old Courthouse Rd Ste 310, Vienna, VA 22182-3831 2020-08-23
1962862672 Fame Allergy, PC Allergy & Immunology 1002 Apperson Dr, Salem, VA 24153-7133 2016-02-24
1346423381 Vickie Kyuran Lee Allergy & Immunology 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 2007-12-13
1871619452 Allergy, Asthma and Sinus Center of Central Virginia Allergy & Immunology 3701 Boulevard Ste H, Colonial Heights, VA 23834-1339 2007-03-22
1053436451 Hassan Mohagheghi Allergy & Immunology 3701 Boulevard, Suite H, Colonial Heights, VA 23834-1339 2007-03-21
1548340748 Laura Ispas Allergy & Immunology 19455 Deerfield Ave Ste 207, Leesburg, VA 20176-8102 2006-10-16
1811092414 Manuel Guillen Allergy & Immunology 101 34 D Colvin Run Road, Great Falls, VA 22066 2006-09-14
1871515296 Albert L. Huber Allergy & Immunology 910 E High St, Charlottesville, VA 22902-4850 2006-07-24
1659302560 Murali Dharan Sharath Allergy & Immunology 4534 Bonney Rd, Suite B, Virginia Beach, VA 23462-3873 2006-07-06
1932130531 Kimberly C George Allergy & Immunology 201 Concourse Blvd, Ste 100, Glen Allen, VA 23059-5640 2006-07-05
Find all providers with the same taxonomy

Competitor

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City WINCHESTER
Zip Code 22601

Improve Information

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Dataset Information

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.

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