Provider Demographics
NPI:1417976119
Name:STONE, RICHARD DOUGLAS (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:DOUGLAS
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 1:1936 OLD ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2247
Mailing Address - Country:US
Mailing Address - Phone:205-978-3200
Mailing Address - Fax:205-978-5745
Practice Address - Street 1:1936 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-2247
Practice Address - Country:US
Practice Address - Phone:205-978-3200
Practice Address - Fax:205-978-5745
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21232208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0007893015OtherAETNA PROVIDER NUMBER
AL51008590OtherBLUE CROSS OF ALABAMA
AL324501OtherCIGNA PROVIDER NUMBER
AL1210679OtherUNITED HEALTHCARE PROVIDE
AL630307306015OtherTRICARE PROVIDER NUMBER
ALF936OtherBLUE CROSS COMMON PAYER
ALG97445Medicare UPIN