Provider Demographics
NPI:1386668325
Name:STONE, ANNA MARIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIKA
Last Name:STONE
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 1:515 N 68TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2656
Mailing Address - Country:US
Mailing Address - Phone:402-708-1855
Mailing Address - Fax:
Practice Address - Street 1:40 NORTHCREST DR STE 1
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-1698
Practice Address - Country:US
Practice Address - Phone:712-328-9605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01087433A207LP3000X
NE23934207LP3000X
IAMD-43271207L00000X, 207LP3000X
MN60919207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
252021OtherMIDLANDS CHOICE
IA0734061Medicaid
NYG0189393590OtherBLUE CHOICE GROUP ID
NYMDH705OtherPREFERRED CARE
NY7924521OtherAETNA ID
NYCC0135OtherRAILROAD MEDICARE GRP ID
NE2001841Medicaid
NY699631OtherMVP PROVIDER ID
NYP010222795OtherBLUE CHOICE ID
NE2001841Medicaid
NY000919955001OtherBS WNY/HEALTHNOW ID
NY050088516OtherRAILROAD MEDICARE ID
NYMDH705OtherPREFERRED CARE
NY02323302Medicaid