Stillwater Medical Group
NPI 1861742918 · Family Medicine Physician · Saint Paul, MN
Stillwater Medical Group is a Family Medicine Physician organization in Saint Paul, MN (NPI 1861742918).
Provider details
- NPI number
- 1861742918
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Bullard, Director of Finance(651) 439-1234
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Stillwater Medical Group Mahtomedi
Registry dates
- Enumerated
- 2012-09-17
- Last updated
- 2013-07-29
Frequently asked questions
- What is Stillwater Medical Group's NPI number?
- Stillwater Medical Group's National Provider Identifier (NPI) is 1861742918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stillwater Medical Group?
- Stillwater Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Stillwater Medical Group located?
- Stillwater Medical Group's practice location on file with NPPES is 700 Wildwood Rd, Saint Paul, MN 55115-1852.
- What is Stillwater Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Stillwater Medical Group is (651) 439-1234.
- Who is the authorized official for Stillwater Medical Group?
- The authorized official listed on Stillwater Medical Group's NPPES record is Ross Bullard, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stillwater Medical Group's NPI active?
- Yes — Stillwater Medical Group's NPI (1861742918) is active in the NPPES registry as of the last update on 2013-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.