JACKIE R STINES JR. (NPI# 1023222197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023222197 |
| Entity Type | Individual |
| Full Name | JACKIE R STINES JR. |
| Credential | MD |
| Practice Address |
1600 Medical Center Drive Ste 3500 Huntington WV 25701 |
| Practice Telephone | 3046911300 |
| Practice Fax Number | 3046911375 |
| Mailing Telephone | 3046911300 |
| Mailing Fax Number | 3046911375 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 24389 | WV | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
24389 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336452663 | Jackie Renee Stines | Registered Nurse | 93 Oaklawn Ave, Farmingville, NY 11738-2544 | 2010-07-15 |
| Street Address |
1600 MEDICAL CENTER DRIVE STE 3500 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183286 | University Physicians & Surgeons, Inc | Dentist | 1600 Medical Center Drive, Huntington, WV 25701 | 2005-06-10 |
| 1154810398 | Jenna Barbour | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Drive, Suite 1500, Huntington, WV 25701 | 2018-05-03 |
| 1336599737 | Jessica R Vogt | Nurse Practitioner | 1600 Medical Center Drive, Suite 2500, Huntington, WV 25701 | 2016-06-16 |
| 1689016719 | Adnan Rashid | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Drive, Suite 3500, Huntington, WV 25701-3556 | 2013-07-17 |
| 1881952752 | Farzad Amiri | Surgery | 1600 Medical Center Drive, Suite 2500, Huntington, WV 25701 | 2012-04-30 |
| 1588863948 | Susan L. Flesher | Pediatrics | 1600 Medical Center Drive, Suite 3500, Huntington, WV 25701-3656 | 2007-07-16 |
| 1447459946 | Paul B Ferguson | Psychiatry & Neurology | 1600 Medical Center Drive, Suite B500, Huntington, WV 25701 | 2007-07-13 |
| 1063610673 | Justin M Nolte | Psychiatry & Neurology | 1600 Medical Center Drive, Suite B500, Huntington, WV 25701 | 2007-07-05 |
| 1316027501 | Alastair Tucker Hoyt | Neurological Surgery | 1600 Medical Center Drive, Suite B500, Huntington, WV 25701-3655 | 2006-10-16 |
| 1003900051 | Rida S Mazagri | Neurological Surgery | 1600 Medical Center Drive, Suite B500, Huntington, WV 25701 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961699 | Mahmood Heydarian | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-12 |
| 1760457766 | Huntington Hospital Association | Pediatrics | 270 Park Ave, Huntington, NY 11743-2787 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184984015 | Nita Ray Chaudhuri | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-05-25 |
| 1629239520 | Anjlee A Patel | Pediatrics | 800 Pennsylvania Ave, Charleston, WV 25302-3351 | 2008-06-23 |
| 1316018757 | Farah H Garmany | Pediatrics | 3100 Maccorkle Ave, Suite 808, Charleston, WV 25304 | 2006-11-09 |
| 1720169139 | Tchuoc Poin Ly | Pediatrics | 830 Pennsylvania Avenue, Suite 400, Charleston, WV 25302-3390 | 2006-10-18 |
| 1801976717 | William A Neal | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1255411187 | John R Phillips | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1023118825 | John M Eckerd | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-22 |
| 1861500811 | Jerome Philip Saul | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2006-08-29 |
| 1093781809 | Larry Rhodes | Pediatrics | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-02-23 |
| City | HUNTINGTON |
| Zip Code | 25701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.