Active NPI
Leo G Stinnett Jr MD PLC
- Surgery Physician
- Mesa, AZ
National Provider Identifier
1487722237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 27159
- Legal business name
- LEO G STINNETT JR MD PLC
- Practice address
- 6641 E Baywood Ave
Suite B-3
Mesa, AZ 85206-1723 - Phone
- (480) 827-7979
- Fax
- (480) 654-7173
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leo G Stinnett Jr., M.D.
- Title
- Owner
- Phone
- (480) 827-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 27159 | AZ | Primary |
Addresses
Primary practice location
6641 E Baywood Ave
Suite B-3
Mesa, AZ 85206-1723
Mailing address
6641 E Baywood Ave
Suite B-3
Mesa, AZ 85206-1723
Phone (480) 827-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00210676 | Other | AZ | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
6641 E Baywood Ave
Ste B1
Mesa, AZ 85206
Phone (480) 827-7979
1818 E Southern Ave
Ste 1B
Mesa, AZ 85204
Phone (480) 827-7979
6641 E Baywood Ave
Ste B3
Mesa, AZ 85206
Phone (480) 827-7979
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Mesa, AZ
- NPI 1497773238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1487722237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6641 E BAYWOOD AVE",
"address_2": "SUITE B-3",
"city": "MESA",
"state": "AZ",
"postal_code": "852061723",
"telephone_number": "480-827-7979",
"fax_number": "480-654-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6641 E BAYWOOD AVE",
"address_2": "SUITE B-3",
"city": "MESA",
"state": "AZ",
"postal_code": "852061723",
"telephone_number": "480-827-7979",
"fax_number": "480-654-7173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEO G STINNETT JR MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "STINNETT",
"authorized_official_first_name": "LEO",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-827-7979",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "AZ",
"license": "27159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00210676",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.