1780790444 NPI number — RICHARD A STONE M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780790444 NPI number — RICHARD A STONE M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

STONE

Provider First Name:

RICHARD

Provider Middle Name:

A

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

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:

1780790444

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

01/11/2017

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2200 JEFFERSON AVE

Provider Second Line Business Mailing Address:

5TH FLOOR MERCY PHO/CVO

Provider Business Mailing Address City Name:

TOLEDO

Provider Business Mailing Address State Name:

OH

Provider Business Mailing Address Postal Code:

43604-7101

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

419-251-9830

Provider Business Mailing Address Fax Number:

419-251-1826

Provider First Line Business Practice Location Address:

60 MERCY CT

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

IRVINE

Provider Business Practice Location Address State Name:

KY

Provider Business Practice Location Address Postal Code:

40336-1331

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

606-726-6540

Provider Business Practice Location Address Fax Number:

606-723-4364

Provider Enumeration Date:

08/22/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208600000X , with the licence number:  26876 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 020008943 . This is a "TRAVELERS MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 000000050184 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 4329908 . This is a "AETNA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 021113600 . This is a "US DEPARTMENT OF LABOR" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 163843500 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 020008943 . This is a "PALMETTO, GBA" identifier . This identifiers is of the category "OTHER".
• Identifier: 1026107 . This is a "PASSPORT HEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 8592603606 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: K007579 . This is a "PGBA, LLC" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
• Identifier: 64268766 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
• Identifier: 020008943 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1305931 . This is a "CIGNA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".