Provider Demographics
NPI:1760775696
Name:DIANNE C. STONE M.D., P.C.
Entity Type:Organization
Organization Name:DIANNE C. STONE M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-940-7015
Mailing Address - Street 1:6870 W 52ND AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3951
Mailing Address - Country:US
Mailing Address - Phone:303-940-7015
Mailing Address - Fax:303-940-6100
Practice Address - Street 1:6870 W 52ND AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3951
Practice Address - Country:US
Practice Address - Phone:303-940-7015
Practice Address - Fax:303-940-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO28053207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC442928OtherMEDICARE ID NUMBER DR. DIANNE STONE
COD60976Medicare UPIN