Provider Demographics
NPI:1508887282
Name:STONER, DEBRA IRENE (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:IRENE
Last Name:STONER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:130 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9315
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-522-4120
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9314
Practice Address - Country:US
Practice Address - Phone:570-522-4110
Practice Address - Fax:570-522-4120
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD048112L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105936OtherBLUE SHIELD
PA930045255OtherRAILROAD MEDICARE
PA105936OtherKEYSTONE
PA321845OtherHEALTH AMERICA
PA232809429OtherTRICARE
PA12997060010Medicaid
PA12997060010Medicaid
PA930045255OtherRAILROAD MEDICARE