Provider Demographics
NPI:1154543312
Name:DONALD J STINAR MD
Entity type:Organization
Organization Name:DONALD J STINAR MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERMD
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:STINAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-388-0184
Mailing Address - Street 1:PO BOX 2857
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88062-2857
Mailing Address - Country:US
Mailing Address - Phone:505-388-0184
Mailing Address - Fax:505-388-0186
Practice Address - Street 1:110 E 11TH ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-5510
Practice Address - Country:US
Practice Address - Phone:505-388-0184
Practice Address - Fax:505-388-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMZ5516Medicaid
NMZ5516Medicaid