Provider Demographics
NPI:1336136068
Name:STONE, MICHAEL R (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 W 7TH ST DEPT OF
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5446
Mailing Address - Country:US
Mailing Address - Phone:501-257-1000
Mailing Address - Fax:501-257-6810
Practice Address - Street 1:4300 W 7TH ST DEPT OF
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-1000
Practice Address - Fax:501-257-6810
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-6892207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR52336OtherBLUE CROSS BLUE SHIELD
ARS03056OtherNOVASYS
AR172478000OtherUS DOL OWCP (LRPM)
AR770132801OtherARKANSAS BREASTCARE
AR050018844OtherRAILROAD MEDICARE
AR115753001Medicaid
AR71033532430OtherQUAL CHOICE
AR171973300OtherUS DEPT. OF LABOR OWCP
AR050011004OtherRAILROAD MEDICARE (LRPM)
AR15492000020OtherQUAL CHOICE (LRPM)
AR770132801OtherARKANSAS BREASTCARE
AR52336OtherBLUE CROSS BLUE SHIELD