Organization Active NPI

Leo G Stinnett Jr MD PLC

  • Surgery Physician
  • Mesa, AZ
National Provider Identifier
1487722237
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27159 Issued in AZ
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

Updated by the provider on Mar 18, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00210676OtherAZRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.