Kathleen Stienstra, MD,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01038853A Issued in IN

Legal business name

KATHLEEN STIENSTRA, MD,PC

Practice address

1801 N 6TH St
Suite 600
Terre Haute, IN 47804-4086

Phone

(812) 235-4867

Fax

(812) 232-8059

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen A Stienstra, MD

Title

Owner

Phone

(812) 235-4867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1427258524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N 6TH ST",
            "address_2": "SUITE 600",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044086",
            "telephone_number": "812-235-4867",
            "fax_number": "812-232-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 6TH ST",
            "address_2": "SUITE 600",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044086",
            "telephone_number": "812-235-4867",
            "fax_number": "812-232-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN STIENSTRA, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "STIENSTRA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-235-4867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01038853A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, 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 Jul 18, 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.