Provider Demographics
NPI:1073580411
Name:STINE, RONALD ARTHUR (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ARTHUR
Last Name:STINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 KEMPSVILLE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-3927
Mailing Address - Country:US
Mailing Address - Phone:757-261-0700
Mailing Address - Fax:757-261-0701
Practice Address - Street 1:844 KEMPSVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3927
Practice Address - Country:US
Practice Address - Phone:757-261-0700
Practice Address - Fax:757-261-0701
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101035608207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA15792OtherSENTARA OHP/SHP
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA HEALTH NETWORK
VA250381OtherATHEM BC/BS VA/HK
VAPAROtherFIRST HEALTH COMMERICAL/SOUTHERN HEALTH/COVENTRY
VA-001OtherTRICARE/CHAMPUS
VA005877148Medicaid
VAPAROtherCIGNA
VA006030238Medicaid
NC8906546Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherUSA MANAGED CARE
VA050277OtherANTHEM BC/BS
VA15382OtherOPTIMA HEALTH PLAN
VA263654OtherUHC/MAMSI/MDIPA
VA449491OtherUNITED HEALTH CARE/MAMSI
NC06546OtherBC/BS NC
VAPAROtherAETNA
VAPAROtherVIRGINIA PREMIER HEALTH
VA060035351Medicare PIN
VA-001OtherTRICARE/CHAMPUS
VA15382OtherOPTIMA HEALTH PLAN
VAPAROtherFIRST HEALTH COMMERICAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherUSA MANAGED CARE