NPIMap

Individual provider Active NPI

Scott A Stine, M.D.

  • Family Medicine Physician
  • Vincennes, IN
National Provider Identifier
1457329245
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01050934A Issued in IN
Practice address
406 N 1St St
Vincennes, IN 47591-1340
Phone
(812) 882-1106
Fax
(812) 895-2458
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01050934A IN Primary

Addresses

Primary practice location

406 N 1St St
Vincennes, IN 47591-1340

Mailing address

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 882-1106

Other identifiers 1

IdentifierTypeStateIssuer
200246130AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000119 IN Practitioner - Family PracticePractitioner - Gastroenterology 0345383766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 882-1106

Hospital & facility affiliations

  • Good Samaritan Home Care Services of Vincennes in Home health agency, Vincennes, IN, CCN 157217
  • Guardian Angels Home Health Care, Inc Home health agency, Bicknell, IN, CCN 157503
  • Good Samaritan Home Care Services Home health agency, Lawrenceville, IL, CCN 148377
  • Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01050934AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Current Accepting new patients
Good Samaritan Hospital Physician Services, Inc Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
Good Samaritan Hospital CurrentSince Jan 1, 2011 Accepting new patients
Rush Memorial Hospital Family Medicine PastSince Dec 7, 2025 Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients

Locations

615 Dubois St
Vincennes, IN 47591
Phone (812) 885-8010

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941

406 N 1st St
Ste C
Vincennes, IN 47591
Phone (812) 882-1106

Interoperability endpoints

  • Direct secure messaging: sstine120010@direct.deaconess.com

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1457329245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-882-1106",
            "fax_number": "812-895-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N 1ST ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911340",
            "telephone_number": "812-882-1106",
            "fax_number": "812-895-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050934A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200246130A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.