Mary Jo Stine
M.D. | Pediatrics | Female
Mary Jo Stine, M.D. is a Spencer, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mary Jo Stine is
35 Bob Babbs Dr, Spencer, Indiana - 47460-6828. She can be contacted on phone at
812-665-1700 and fax number 844-605-9160.
Mary Jo Stine is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Jo Stine is
1619965803 which was assigned by NPPES on 11 Oct, 2005 and it was last updated on 24 Jan, 2023.
Mary Jo Stine license number is
01029565A for Pediatrics (208000000X) in Indiana.
Mary Jo Stine is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Jo Stine basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Jo Stine |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mary Jo Stine address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 35 Bob Babbs Dr
Spencer, IN, 47460-6828
United States |
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| Phone Number : | 812-665-1700 |
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| Fax Number : | 844-605-9160 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619965803 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Oct, 2005 |
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| Last Updated On : | 24 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jo Stine are as mentioned. Primary taxonomy code for Mary Jo Stine, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 01029565A | IN |
| 208000000X | Pediatrics | Yes | 01029565A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Mary Jo Stine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 100330490 | MEDICAID | IN | |
| 264420NN | MEDICARE ID-Type Unspecified | IN | |
| E11626 | MEDICARE UPIN | IN | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
901 SHELBY ST,
INDIANAPOLIS, IN, 46203-1151
United States | INDIANAPOLIS, IN | 317-488-2040 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8003 Castleway Dr
Indianapolis, IN, 46250-1946
United States |
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| Phone Number : | 317-576-1335 |
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| Fax Number : | 844-397-1311 |
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Business Location:
Patients can refer following map for directions to
Mary Jo Stine practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.