Individual provider Active NPI

John Martin Stogin Jr., MD

  • Orthopaedic Hand Surgery Physician
  • Chicago, IL
National Provider Identifier
1235191297
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD00023255 Issued in WA
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

Updated by the provider on Dec 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036092867MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002426 WA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5799793410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic 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

LicenseStateTypeSpecialty
036092867ILMDOrthopaedic Hand Surgery Physician
MD00023255WAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Orthopaedic Surgery CurrentSince Nov 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.