Active NPI
William M Stinson MD Medical Corp
- Family Medicine Physician
- Anderson, IN
National Provider Identifier
1639353949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01032850
- Legal business name
- WILLIAM M STINSON MD MEDICAL CORP
- Practice address
- 2101 Jackson St
Suite 101
Anderson, IN 46016-4386 - Phone
- (765) 646-8479
- Fax
- (765) 646-8526
- NPI assigned
- Dec 21, 2007
- 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
- David Mark Stinson, M.D.
- Title
- President/Provider
- Phone
- (765) 646-8479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032850 | IN | Primary |
Addresses
Primary practice location
2101 Jackson St
Suite 101
Anderson, IN 46016-4386
Mailing address
2101 Jackson St
Suite 101
Anderson, IN 46016-4386
Phone (765) 646-8479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000100998 | Other | IN | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
2101 Jackson St
Ste 101
Anderson, IN 46016
Phone (765) 609-6063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1639353949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 JACKSON ST",
"address_2": "SUITE 101",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164386",
"telephone_number": "765-646-8479",
"fax_number": "765-646-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 JACKSON ST",
"address_2": "SUITE 101",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164386",
"telephone_number": "765-646-8479",
"fax_number": "765-646-8526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM M STINSON MD MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-21",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "STINSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/PROVIDER",
"authorized_official_telephone_number": "765-646-8479",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01032850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000100998",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.