Gregory C. Stonestreet, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13291 Issued in WV

Practice address

5480 Big Tyler Rd
Cross Lanes, WV 25313-1116

Phone

(304) 776-2409

Fax

(304) 776-2023

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cross Lanes Family Practice, Inc. (Lab)

  • Clinical Medical Laboratory
  • Cross Lanes, WV
  • NPI 1548347438
  NPD (past) Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881692671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131116",
            "telephone_number": "304-776-2409",
            "fax_number": "304-776-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131116",
            "telephone_number": "304-776-2409",
            "fax_number": "304-776-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONESTREET",
        "first_name": "GREGORY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057324000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Everett Starcher, DDS
• Mark Kerry Stephens, MD
• Megan Stevens
• Tiffany Stevens
• Billie Stone
• Amy Stratton
• Angela Strickland
• Susan Lynn Tantlinger
• John C. Taylor, PHARM.D
• Lisa Taylor

• Family Medicine Physician in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.