Active NPI
Patrick Hervey Stine, MD
- Otolaryngology Physician
- Whiting, VT
National Provider Identifier
1154552651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD2006-0162
- Practice address
- 2195 S Bingham St
Whiting, VT 05778-9508 - Phone
- (802) 462-2012
- NPI assigned
- Jul 31, 2009
- Last updated
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD2006-0162 | NM | Primary |
| Otolaryngology Physician | 207Y00000X | 042-0006468 | VT |
Addresses
Primary practice location
2195 S Bingham St
Whiting, VT 05778-9508
Mailing address
2195 S Bingham St
Whiting, VT 05778-9508
Phone (802) 462-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2006-0162 | NM | MD | Otolaryngology Physician |
| 042-0006468 | VT | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1154552651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 S BINGHAM ST",
"city": "WHITING",
"state": "VT",
"postal_code": "057789508",
"telephone_number": "802-462-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 S BINGHAM ST",
"city": "WHITING",
"state": "VT",
"postal_code": "057789508",
"telephone_number": "802-462-2012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "PATRICK",
"middle_name": "HERVEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NM",
"license": "MD2006-0162",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "VT",
"license": "042-0006468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiting, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.