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Raymond Lee Stillwell

Male

Medical Specialty

Emergency Medicine

Professional ID

NPI: 1427056845
PECOS ID: 1355230947
Enrollment ID: I20040311001509
Credential(MD, DO, DPM): MD
Medical School: University Of Southern California School Of Medicine
Medical School Graduation Year: 1998

Hospital Service

Hospital CCN1: 291306
Business Name (LBN)1: Carson Valley Medical Center
Hospital CCN2: 050352
Business Name (LBN)2: Barton Memorial Hospital
Hospital CCN3: 021312
Business Name (LBN)3: Samuel Simmonds Memorial Hospital

Medical Practices

Organization Name: Barton Healthcare System
Group Practice ID assigned by PECOS: 1850293960
Number of Group Practice member: 17

Location

Address1: 1501 -a Kirkwood Meadows Dr
Address2:
City: Kirkwood
State: California
Zip Code: 95646
Phone Number: (209)258-7236

Location

Address1: 3860 Saddle Rd
Address2:
City: South Lake Tahoe
State: California
Zip Code: 96150
Phone Number: (530)643-5553

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):