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DR. KENNETH STILLMAN M.D.
NPI 1053394726
Family Medicine in Northborough, MA

Active since November 27, 2005
112 MAIN ST, NORTHBOROUGH, MA 01532(508) 351-9250 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Stillman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH STILLMAN M.D. (NPI 1053394726) is an individual family medicine provider in Northborough, Massachusetts, licensed in Massachusetts (42871) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1053394726
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH STILLMANCredential: M.D.
Location Address112 MAIN STNorthborough, MA 01532-1914
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 351-9250
Sole ProprietorNo
Enumeration DateNovember 27, 2005
Last NPPES UpdateJune 7, 2011
✔ NPI 1053394726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 42871
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

112 MAIN ST, Northborough, MA 01532
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Other Identifiers 3

Medicaid2071738MA
Medicare PINJ2500301MA
Medicare UPINA59424MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA MARIE DODGE PT
Physical Therapist
112 MAIN ST, HARDY PHYSICAL THERAPY REHABILITATIONS SERVICES INC
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7298
MR. TYLER BOWIE PT
Physical Therapist
112 MAIN ST, HARDY PHYSICAL THERAPY REHABILITATION SERVICES INC
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7298
DR. ALISON MEHTA DO LLC
Clinic/Center (Adult Mental Health)
112 MAIN ST, SUITE 105
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7223
MRS. LINDA SUE HARDY PT
Physical Therapist
112 MAIN ST, HARDY PHYSICAL THERAPY REHABILITATION SERVICES INC
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7298
RICARDO LEWITUS MD
Pediatrics
112 MAIN ST, 102
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7807
GAIL ESPER-COLLETTE M.S.W.
Social Worker (Clinical)
112 MAIN ST
NORTHBOROUGH, MA 01532
Worcester County (508) 393-7223
MRS. DIANE M. RIGNEY LMHC
Counselor
112 MAIN ST, SUITE 105
NORTHBORO, MA 01532
Worcester County (508) 393-7223
MRS. JOY E BECKER APRN
Nurse Practitioner (Psychiatric/Mental Health)
112 MAIN ST, SUITE 105
NORTHBORO, MA 01532
Worcester County (508) 393-7223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Stillman's NPI number?

The NPI number for Kenneth Stillman is 1053394726. It was assigned to this individual provider in the NPPES registry on November 27, 2005.

Where is Kenneth Stillman located?

Kenneth Stillman practices at 112 Main St, Northborough, MA 01532. The listed phone number is (508) 351-9250.

What is Kenneth Stillman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Stillman was last updated on June 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.