Basic Information
Provider Information
NPI: 1407277924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STINGER
FirstName: THOMAS
MiddleName: STEVEN
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2635 G ST
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933012813
CountryCode: US
TelephoneNumber: 6616331500
FaxNumber: 6616332700
Practice Location
Address1: 450 GREENFIELD AVE
Address2:  
City: HANFORD
State: CA
PostalCode: 932303513
CountryCode: US
TelephoneNumber: 6616331500
FaxNumber: 6616332700
Other Information
ProviderEnumerationDate: 12/31/2013
LastUpdateDate: 12/31/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X95000046CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home