1871655662 NPI number — PAVILION HAND SURGEONS, INC.

Table of content: ERIN CATHERINE STONEKING APRN, CNP (NPI 1225910342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871655662 NPI number — PAVILION HAND SURGEONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAVILION HAND SURGEONS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871655662
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3550 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01107-1089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-733-2204
Provider Business Mailing Address Fax Number:
413-734-0587

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3550 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01107-1089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-733-2204
Provider Business Practice Location Address Fax Number:
413-734-0587
Provider Enumeration Date:
12/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WINT
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
413-733-2204

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0151750001 . This is a "MEDICARE DME GROUP NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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