Jay C Stine Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0050219 Issued in FL

Practice address

608 Ingraham Avenue
Haines City, FL 33844-5619

Phone

(863) 422-9562

Fax

(863) 421-3246

NPI assigned

Sep 25, 2006

Last updated

Apr 24, 2020By the provider in NPPES

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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haines City Internal Medicine PA

  • Internal Medicine Physician
  • Haines City, FL
  • NPI 1386799542
  Authorized official Same address or phone
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1982705042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 INGRAHAM AVENUE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445619",
            "telephone_number": "863-422-9562",
            "fax_number": "863-421-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 INGRAHAM AVENUE",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338445619",
            "telephone_number": "863-422-9562",
            "fax_number": "863-421-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "JAY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0050219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049894700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "04327",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irina Soto Diaz
• Edmarielys Soto Quintero, M.S. CCC-SLP
• Sports and Orthopedic Rehabilitation Services Inc
• Steps Therapy Inc.
• Ezekiel C Stewart
• Steven P Strickland
• James Beckham Sturgill, P.T.
• Maria Suarez Marin, RBT-26-528589
• Brett Robert Summers, D.L.
• Sun Health and Wellness, Inc (First Choice Pharmacy, Zocalo Plaza)

• Internal Medicine Physician in Haines City, FL
• Providers in Haines City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.