GREGORY M STIRNEMAN DPM PA NPI 1295919538

NPI Information

  • NPI: 1295919538
  • Provider Name: GREGORY M STIRNEMAN DPM PA
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 2011 S JACKSON ST
    JACKSONVILLE, TX
    ZIP 75766
  • Phone: (903) 586-7979

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NPI Details

GREGORY M STIRNEMAN DPM PA is a foot and ankle surgery podiatrist in Jacksonville, TX. GREGORY M STIRNEMAN DPM PA NPI is 1295919538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2011 S JACKSON ST
JACKSONVILLE, TX
ZIP 75766-821
Phone: (903) 586-7979
Fax: (903) 589-0487

The provider's authorized official is Phylesa Lasiter .
The authorized official title is Office Manager and has the following contact phone number (903) 586-7979.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery1312TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11130050001MEDICARE NSC
2=========OTHERTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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