Individual provider Active NPI

Mark S. Stonecypher, MD PHD

  • Clinical Pathology/Laboratory Medicine Physician
  • Maryville, TN
National Provider Identifier
1669691838
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MT190183 Issued in PA
Practice address
250 E Broadway Ave
MPLN
Maryville, TN 37804-5782
Phone
(865) 380-9191
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MT190183 PA Primary

Addresses

Primary practice location

250 E Broadway Ave
MPLN
Maryville, TN 37804-5782

Mailing address

924 Bridgeway Dr
Maryville, TN 37801-8543
Phone (205) 515-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MT190183PAMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1669691838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BRIDGEWAY DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018543",
            "telephone_number": "205-515-2971",
            "fax_number": "865-380-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E BROADWAY AVE",
            "address_2": "MPLN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045782",
            "telephone_number": "865-380-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONECYPHER",
        "first_name": "MARK",
        "middle_name": "S.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "PA",
            "license": "MT190183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.