MARY JO STINE (NPI# 1619965803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619965803 |
| Entity Type | Individual |
| Full Name | MARY JO STINE |
| Credential | M.D. |
| Practice Address |
35 Bob Babbs Dr Spencer IN 47460-6828 |
| Mailing Address |
8003 Castleway Dr Indianapolis IN 46250-1946 |
| Practice Telephone | 8126651700 |
| Practice Fax Number | 8446059160 |
| Mailing Telephone | 3175761335 |
| Mailing Fax Number | 8443971311 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01029565A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100330490 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Shelby St, Indianapolis, IN 462031151 | 3174882040 | 3174882051 |
| 35 Bob Babbs Dr, Spencer, IN 474606828 | 8126651700 | 8446059160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871918193 | Mary Theresa Stine | Counselor | 6321 Stratford Pl, New Orleans, LA 70131-7325 | 2014-02-24 |
| Street Address |
35 BOB BABBS DR |
| City | SPENCER |
| State | IN |
| Zip Code | 47460-6828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013035 | Melissa Kohlman | Case Manager/Care Coordinator | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2019-09-25 |
| 1629549324 | Marcy Gardner | Nurse Practitioner | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2018-12-06 |
| 1538644083 | Jason Woods | Counselor | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2018-10-01 |
| 1497273437 | Julianna M Holmes | Counselor | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-08-30 |
| 1609315829 | Indiana Health Centers, Inc | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-02-21 |
| 1861820532 | Sarah Baird | Counselor | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2013-10-16 |
| 1508180639 | Rachel Goss | Nurse Practitioner | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2010-03-18 |
| 1942265483 | John Savage | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2006-04-18 |
| 1366429508 | Elaine Carol Meyer | Social Worker | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173280 | Rebecca Roell | Specialist/Technologist | 622 W State Highway 46, Spencer, IN 47460 | 2017-09-25 |
| 1740739275 | Owen County Family Young Men's Christian Association | Health Educator | 1111 W. State Hwy 46, Spencer, IN 47460 | 2016-09-26 |
| 1164515748 | Corinne R Riebow | Counselor | 272 North Us Highway 231, Spencer, IN 47460 | 2006-10-02 |
| 1689952772 | Kenneth E Marshall | Family Medicine | 9 N Crane Ave, Spencer, IN 47460 | 2011-07-25 |
| 1649348459 | Owen County Emergency Medical Services | Ambulance | 333 West State Highway 46, Spencer, IN 47460-0372 | 2006-12-01 |
| 1043242951 | Christi Ryan | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-0595 | 2006-07-07 |
| 1417089434 | Stephanie Beth Sare | Day Training/Habilitation Specialist | 650 N East St, Spencer, IN 47460-1007 | 2007-03-12 |
| 1174645915 | Julia M. Fine | Nurse Practitioner | 911 W Hillside Ave, Spencer, IN 47460-1119 | 2007-04-04 |
| 1881644672 | Betty Jean Lawrance | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2006-05-11 |
| 1427418284 | Cindy Rhodenbaugh | Social Worker | 909 W Hillside Ave, Spencer, IN 47460-1119 | 2016-03-07 |
| Find all providers in zip 47460 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053572578 | Carol Lynn Berseth | Pediatrics | 401 Park Plaza Dr, Evansville, IN 47715-3632 | 2008-06-18 |
| 1992831861 | Rex G Bickers | Pediatrics | 3511 Lafayette Pkwy, Floyds Knobs, IN 47119-9760 | 2007-02-26 |
| 1275679433 | Cheryl Annette Eads | Pediatrics | 887 N Gardner St Ste A, Scottsburg, IN 47170-1457 | 2007-01-29 |
| 1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
| 1659391506 | Gregory Robert Warda | Pediatrics | 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 | 2006-07-20 |
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1538688163 | Coutinho PC | Pediatrics | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2017-09-14 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1366897605 | Nicholas Theodore Severyn | Pediatrics | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 | 2016-04-24 |
| 1255728903 | Sara K Kane | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
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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.