MR. LEO GASTON STINNETT JR.


Address: 1209 W Target Range Rd, Nogales, AZ 85621-2466
Phone: 5202874747

MR. LEO GASTON STINNETT JR. (NPI# 1306864145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306864145
Entity Type Individual
Full Name MR. LEO GASTON STINNETT JR.
Credential MD
Practice Address 1209 W Target Range Rd
Nogales
AZ 85621-2466
Mailing Address 3501 E Speedway Blvd Ste 300
Tucson
AZ 85716-3928
Practice Telephone 5202874747
Practice Fax Number 5202853136
Mailing Telephone 5208335171
Mailing Fax Number 8883953034
Enumeration Date 2006-07-18
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery J0285 TX Allopathic & Osteopathic Physicians
Y 208600000X Surgery 27159 AZ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
15571 N Reems Rd, Surprise, AZ 853749584 6235446932 6233211070

Office Location

Street Address 1209 W TARGET RANGE RD
City NOGALES
State AZ
Zip Code 85621-2466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447242300 Oscar I Rojas Pediatrics 1209 W Target Range Rd, Suite 103, Nogales, AZ 85621-2466 2005-08-17
1013523539 Mariposa Community Health Center Family Medicine 1209 W Target Range Rd, Nogales, AZ 85621-2466 2020-09-21
1922418979 Jared Ryan Lunkenheimer Family Medicine 1209 W Target Range Rd, Nogales, AZ 85621-2466 2014-04-29
1225479868 Lydia H. Rivera Nurse Practitioner 1209 W Target Range Rd, Nogales, AZ 85621-2466 2013-07-11
1457604506 Martha Veronica Borbon Nurse Practitioner 1209 W Target Range Rd, Nogales, AZ 85621-2466 2012-10-25
1023387958 Valley Ent, PC Otolaryngology 1209 W Target Range Rd, Nogales, AZ 85621-2466 2011-12-21
1396823829 John Pettit Surgery 1209 W Target Range Rd, Suite 4, Nogales, AZ 85621-2465 2006-11-01
1811930423 Jeffrey Thomas Maudlin Family Medicine 1209 W Target Range Rd, Nogales, AZ 85621-2466 2006-06-13
1861469389 Miriam E Downey Nurse Practitioner 1209 W Target Range Rd, Nogales, AZ 85621-2466 2006-03-02
1679552749 Maria Gwen Gallegos Nurse Practitioner 1209 W Target Range Rd, Nogales, AZ 85621-2466 2006-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771033 Intermountain Health Center, Inc. Community/Behavioral Health 272 West Viewpoint Drive, Nogales, AZ 85621 2017-10-24
1336696657 Intermountain Centers for Human Development Inc. Community/Behavioral Health 276 West View Point Drive, Nogales, AZ 85621 2016-09-02
1831584291 Helping Ourselves Pursue Enrichment, Inc. Community/Behavioral Health 1857 N Mastick Way, Nogales, AZ 85621 2015-04-02
1043504376 Community Intervention Associates Community/Behavioral Health 32 Blvd Del Rey David, Nogales, AZ 85621 2011-06-03
1568782175 Arizona's Children Association Clinic/Center 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 2010-06-04
1811032493 Susan M. Jaworski Local Education Agency (LEA) 315 Plum Street, Nogales, AZ 85621 2007-02-21
1194885905 Alex Gracia Pharmacy Technician 839 W. Calle Chico, Nogales, AZ 85621 2006-12-11
1982716130 Yvette Denise Braun Chiropractor 1821 N Mastick Way #1, Nogales, AZ 85621 2006-08-31
1043254154 John Diaz Emergency Medicine 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 2006-06-16
1467495085 Bart L Mc Rae Emergency Medicine Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 2006-06-13
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396823829 John Pettit Surgery 1209 W Target Range Rd, Suite 4, Nogales, AZ 85621-2465 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598365702 Ducharme General Surgery, Pllc Surgery 1200 N El Dorado Pl Ste E-520, Tucson, AZ 85715-4637 2020-10-27
1407465081 Arizona Advanced Surgical and Pain Surgery 5235 E Southern Ave Ste D106-444, Mesa, AZ 85206-3626 2020-07-29
1588285910 Casey Leonard Charlton Surgery 1300 E Fort Lowell Rd, Tucson, AZ 85719-2222 2020-04-27
1235760406 Star Surgery Center, LLC Surgery 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 2020-01-28
1841842747 Scottsdale Outpatient Surgery Surgery 8994 E Desert Cove Ave Ste 101, Scottsdale, AZ 85260-7901 2019-07-10
1730744228 Zona Surgery Center, LLC Surgery 8994 E Desert Cove Ave Ste 100, Scottsdale, AZ 85260-7901 2019-05-09
1033684741 Michael Joseph Pllc Surgery 29455 N Cave Creek Rd Ste 118-451, Cave Creek, AZ 85331-3245 2018-10-09
1215411970 Center for Vein Restoration Az LLC Surgery 1500 S Dobson Rd Ste 310, Mesa, AZ 85202-4751 2018-09-19
1043701543 Lakeshore Interventional Treatment Center LLC Surgery 4765 S Lakeshore Dr, Tempe, AZ 85282 2018-05-21
1831686112 Facasurgery LLC Surgery 1831 E Queen Creek Rd # 120, Chandler, AZ 85286-2019 2018-04-22
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Competitor

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City NOGALES
Zip Code 85621

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Dataset Information

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.

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