NPIMap

Organization Active NPI

John L Stoker D.O. P.C.

Doing business as Dba Valley Medical Center

  • Family Medicine Physician
  • Flint, MI
National Provider Identifier
1154512630
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101007274 Issued in MI
Legal business name
JOHN L STOKER D.O. P.C.
Doing business as
Dba Valley Medical Center
Practice address
G 5142 Mill ER Rd
Flint, MI 48507
Phone
(810) 733-3660
Fax
(810) 720-4777
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John L Stoker, DO
Title
Medical Director
Phone
(810) 733-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101007274 MI Primary

Addresses

Primary practice location

G 5142 Mill ER Rd
Flint, MI 48507

Mailing address

G5142 Mill ER Rd
Flint, MI 48507
Phone (810) 733-3660

Other identifiers 3

IdentifierTypeStateIssuer
1536560MedicaidMI
CL5066OtherMIPALMETTO GPA
0152539665OtherMIBLUE CROSS

Other names 1

  • DBA VALLEY MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

5142 Miller Rd
#G
Flint, MI 48507
Phone (810) 733-3660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1154512630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G5142 MILL ER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-733-3660",
            "fax_number": "810-720-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G 5142 MILL ER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-733-3660",
            "fax_number": "810-720-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L STOKER D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-733-3660",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1536560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GPA",
            "identifier": "CL5066",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0152539665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.