Active NPI
Karl F Stine, MD
- Family Medicine Physician
- Cresson, PA
National Provider Identifier
1871554691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD039660L
- Practice address
- 207 Fairway Drive
Cresson, PA 16630-1141 - Phone
- (814) 934-5275
- Fax
- (814) 787-2955
- NPI assigned
- Mar 31, 2006
- Last updated
- Jun 25, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD039660L | PA | |
| Family Medicine Physician | 207Q00000X | MD039660L | PA | Primary |
Addresses
Primary practice location
207 Fairway Drive
Cresson, PA 16630-1141
Mailing address
PO Box 265
Cresson, PA 16630-0265
Phone (814) 934-5275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001024188 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Tiadaghton Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lock Haven, PA
- NPI 1407886328
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1871554691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"city": "CRESSON",
"state": "PA",
"postal_code": "166300265",
"telephone_number": "814-934-5275",
"fax_number": "814-787-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRWAY DRIVE",
"city": "CRESSON",
"state": "PA",
"postal_code": "166301141",
"telephone_number": "814-934-5275",
"fax_number": "814-787-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINE",
"first_name": "KARL",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD039660L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD039660L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001024188",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cresson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.