Active NPI
John Martin Stogin Jr., MD
- Orthopaedic Hand Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- MD00023255
- Practice address
- 737 N Michigan Ave
Ste 700
Chicago, IL 60611-6662 - Phone
- (312) 337-6960
- Fax
- (312) 337-6960
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 036092867 | IL | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 036092867 | IL | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | MD00023255 | WA | Primary |
Addresses
Primary practice location
737 N Michigan Ave
Ste 700
Chicago, IL 60611-6662
Mailing address
737 N Michigan Ave
Ste 700
Chicago, IL 60611-6662
Phone (312) 337-6960
Other practice location 1
16528 E Desmet Ct
Spokane Valley, WA 99216-3522
Phone (509) 944-8920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092867 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Harvard Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 W 8TH Ave
Spokane, WA 99204-2307
1200 E Columbia Ave
Colville, WA 99114-3354
Phone (509) 684-3701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036092867 | IL | MD | Orthopaedic Hand Surgery Physician |
| MD00023255 | WA | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
16528 E Desmet Ct
Spokane Valley, WA 99216
Phone (509) 944-8910
Interoperability endpoints
- jstogin2005433@wm.providencedirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638662400000",
"number": "1235191297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE",
"address_2": "STE 700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116662",
"telephone_number": "312-337-6960",
"fax_number": "312-337-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 N MICHIGAN AVE",
"address_2": "STE 700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606116662",
"telephone_number": "312-337-6960",
"fax_number": "312-337-6960"
}
],
"practiceLocations": [
{
"address_1": "16528 E Desmet Ct",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992163522",
"country_code": "US",
"telephone_number": "509-944-8920",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOGIN",
"first_name": "JOHN",
"middle_name": "MARTIN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2021-12-05",
"certification_date": "2021-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036092867",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IL",
"license": "036092867",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "WA",
"license": "MD00023255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092867",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.