Provider Demographics
NPI:1265687875
Name:STONER, MELISSA (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:STONER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4017
Mailing Address - Country:US
Mailing Address - Phone:410-535-4488
Mailing Address - Fax:410-535-8417
Practice Address - Street 1:8924 CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:NORTH BEACH
Practice Address - State:MD
Practice Address - Zip Code:20714-4050
Practice Address - Country:US
Practice Address - Phone:410-257-7279
Practice Address - Fax:410-257-4311
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP00921121OtherRR MEDICARE
MAP00921121OtherRR MEDICARE
MD195885ZDDBMedicare PIN
MD337492YWV2Medicare PIN