Individual provider Active NPI

Donovan Mitchell Stinnett, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Joplin, MO
National Provider Identifier
1275712010
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
R2B24 Issued in MO
Practice address
1701 W 26TH St
Suite B
Joplin, MO 64804-1513
Phone
(417) 625-2802
Fax
(417) 782-6750
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X R2B24 MO Primary

Addresses

Primary practice location

1701 W 26TH St
Suite B
Joplin, MO 64804-1513

Mailing address

1701 W 26TH St
Suite B
Joplin, MO 64804-1513
Phone (417) 625-2802

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2B24MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sjmgroup Past Accepting new patients

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1275712010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W 26TH ST",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041513",
            "telephone_number": "417-625-2802",
            "fax_number": "417-782-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W 26TH ST",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041513",
            "telephone_number": "417-625-2802",
            "fax_number": "417-782-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINNETT",
        "first_name": "DONOVAN",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "R2B24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.