MEDICARE: DONALD J STINAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	97381	NM
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	97381	NM
3	207RP1001X	Pulmonary Disease Physician	97381	NM
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	97381	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831270719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD J STINAR MD

Provider Business Mailing Address
First Line	:	PO BOX 2857
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88062-2857
Country	:	US
Telephone Number	:	575-388-0184
Fax Number	:	505-388-0186

Provider Business Practice Location Address
First Line	:	110 E 11TH ST
Second Line	:
City	:	SILVER CITY
State	:	NM
Zip	:	88061-5510
Country	:	US
Telephone Number	:	505-388-0184
Fax Number	:	505-388-0186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	05/19/2020

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