Matthew G. Stine, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9034 Issued in TX

Legal business name

MATTHEW G. STINE, D.O., P.A.

Practice address

260 Willow Bend Dr
Aledo, TX 76008-1188

Phone

(817) 441-9252

Fax

(817) 441-9282

NPI assigned

Oct 25, 2015

Organization subpart

Yes

Parent organization

MATTHEW G. STINE, D.O., P.A.As reported in NPPES

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

Authorized official

Name

Dr. Matthew Gorman Stine, D.O.NPI 1871770164

Title

Owner/Physician

Phone

(817) 441-9252

Specialties & licenses 1

Addresses

Other names 1

• Medical Associates at Willow Park Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Matthew G Stine DO PA

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Gorman Stine, DO

  • Family Medicine Physician
  • Aledo, TX
  • NPI 1871770164
  Medicare reassignment NPD Authorized official
• Chelsea Townsend Fogle, FNP-C

  • Family Nurse Practitioner
  • Aledo, TX
  • NPI 1194236216
  Medicare reassignment NPD

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445731200000",
    "number": "1821460239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WILLOW BEND DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081188",
            "telephone_number": "817-441-9252",
            "fax_number": "817-441-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WILLOW BEND DR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081188",
            "telephone_number": "817-441-9252",
            "fax_number": "817-441-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW G. STINE, D.O., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATTHEW G. STINE, D.O., P.A.",
        "enumeration_date": "2015-10-25",
        "last_updated": "2015-10-25",
        "status": "A",
        "authorized_official_last_name": "STINE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GORMAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "817-441-9252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates at Willow Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Erin Love, PT, DPT
• Marie A Mahoney, AUD
• Christy Lynn Maldonado
• Marcus H. Gleaton OD PLLC
• Masvida Health Care Solutions LLC
• Mark Allan McAdams, DDS
• Bethany McCarty, OTR
• Kristin McElvain
• Madison McElwee, OTD
• Theresea Leigh McVeigh, RD

• Family Medicine Physician in Aledo, TX
• Providers in Aledo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.