Provider Demographics
NPI:1760571822
Name:STINSON, JOHN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:STINSON
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:FDA 10903 NEW HAMPSHIRE AVENUE
Mailing Address - Street 2:BUILDING 66, ROOM 1530
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993
Mailing Address - Country:US
Mailing Address - Phone:301-796-4724
Mailing Address - Fax:301-424-3078
Practice Address - Street 1:FDA 10903 NEW HAMPSHIRE AVENUE
Practice Address - Street 2:BUILDING 66, ROOM 1530
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993
Practice Address - Country:US
Practice Address - Phone:301-251-1433
Practice Address - Fax:301-424-3078
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034636207X00000X, 207XS0117X, 207XX0801X
DCMD17115207X00000X, 207XS0117X, 207XX0801X
VA0101058513207X00000X, 207XS0117X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
37520003OtherBLUE CROSS OF NATL CAP AR
1242304006OtherCIGNA
452336OtherAETNA
27318OtherMDIPA/OPCHOICE
27318OtherALLIANCE/MAMSI
53047401OtherCAREFIRST BLUE CROSS
093558OtherANTHEM
521155066OtherNCPPO
521155066OtherNCPPO
27318OtherMDIPA/OPCHOICE