Mark Kevin Stine, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01030274A Issued in IN

Practice address

163 Butner Dr
Hope, IN 47246-9447

Phone

(812) 546-6000

Fax

(812) 546-0368

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Methodist Medical Group Physicians Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1285673616
  NPD (past)
• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1316942303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 CRAWFORDSVILLE RD B",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243722",
            "telephone_number": "317-653-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BUTNER DR",
            "city": "HOPE",
            "state": "IN",
            "postal_code": "472469447",
            "telephone_number": "812-546-6000",
            "fax_number": "812-546-0368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5926 CRAWFORDSVILLE RD B",
            "address_purpose": "LOCATION",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462243722",
            "country_code": "US",
            "telephone_number": "317-653-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINE",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030274A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnston, EDS
• Amy L Miller, D.C.
• Ryohei Otsuka, MD
• Tristan L. Schaefer, RN
• Amy Shipp, LAT, ATC, ITAT
• Hideki Tsunoda, M.D.
• Windrose Health Network, Inc.
• Lynda K Ziegler, WHNP-BC

• Family Medicine Physician in Hope, IN
• Providers in Hope, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.