NPIMap

Individual provider Active NPI

Michael J Stonnington, M.D.,

  • Orthopaedic Trauma Physician
  • Gulfport, MS
National Provider Identifier
1710919964
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
16165 Issued in MS
Practice address
4320 15TH St Ste a
Gulfport, MS 39501-2524
Phone
(228) 867-5012
Fax
(228) 575-1964
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma Physician 207XX0801X 16165 MS Primary

Addresses

Primary practice location

4320 15TH St Ste a
Gulfport, MS 39501-2524

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194

Other identifiers 1

IdentifierTypeStateIssuer
0122401MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100825000170 MS Practitioner - Orthopedic Surgery 0648325977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

1391 Broad Ave
Suite a
Gulfport, MS 39501-2419
Phone (228) 863-8868

1397 Broad Ave
Gulfport, MS 39501-2419
Phone (228) 575-1945

1428 Azalea Dr S
Wiggins, MS 39577-8195
Phone (601) 928-9674

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

57 Ratliff St
Lucedale, MS 39452-5731
Phone (601) 673-6120

Hospital & facility affiliations

  • Mississippi Homecare of Picayune Home health agency, Picayune, MS, CCN 257141
  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Enhabit Home Health of the Gulf Coast Home health agency, Gulfport, MS, CCN 257111
  • Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement28
Knee replacement60
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16165MSMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Jul 13, 2020 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 13, 2020 Accepting new patients
George County Hospital Current Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

1397 Broad Ave
Gulfport, MS 39501
Phone (228) 575-1945

4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4320 15th St
#A
Gulfport, MS 39501
Phone (228) 864-4392

Interoperability endpoints

  • Direct secure messaging: mstonnington@direct.mhg.com
  • Direct secure messaging: michaelstonnington@grh.medalliesdirect.net

Organizations & group practices 6

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 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1710919964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 15TH ST STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-867-5012",
            "fax_number": "228-575-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONNINGTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MS",
            "license": "16165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122401",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.