Active NPI
R.L.Stinson Jones, M.D.
- Pediatric Adolescent Medicine Physician
- Fort Worth, TX
National Provider Identifier
1871551754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- D3289
- Practice address
- 1108 S Henderson St
Fort Worth, TX 76104-4430 - Phone
- (817) 335-3255
- Fax
- (817) 338-9563
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D3289 | TX | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | D3289 | TX | Primary |
Addresses
Primary practice location
1108 S Henderson St
Fort Worth, TX 76104-4430
Mailing address
1108 S Henderson St
Fort Worth, TX 76104-4430
Phone (817) 335-3255
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4526338 | Other | TX | AETNA |
| 127097703 | Medicaid | TX | |
| 10028553 | Other | TX | AMERIGROUP |
| 130900703 | Other | TX | MEDICAID EPSDT |
| 83216X | Other | TX | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3289 | TX | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Pediatrics, P.a. | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Fort Worth, TX
- NPI 1972623031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1871551754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044430",
"telephone_number": "817-335-3255",
"fax_number": "817-338-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044430",
"telephone_number": "817-335-3255",
"fax_number": "817-338-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "R.L.STINSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D3289",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "D3289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4526338",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127097703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10028553",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID EPSDT",
"identifier": "130900703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83216X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.