Provider Demographics
NPI:1265526800
Name:STONE, DAVID DANIEL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DANIEL
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:PO BOX 360817
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136
Mailing Address - Country:US
Mailing Address - Phone:440-268-9563
Mailing Address - Fax:440-268-9593
Practice Address - Street 1:19640 W. 130TH STREET
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136
Practice Address - Country:US
Practice Address - Phone:440-268-9563
Practice Address - Fax:440-268-9593
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082306207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000351098OtherBLUE CROSS BLUE SHIELD
OH0007091575OtherAETNA PROVIDER ID#
OH2462340OtherUNITED HEALTH CARE
OH1003088OtherQUALCHOICE PROVIDER ID#
OHP00296965OtherRAILROAD MEDICARE
OH0007091575OtherAETNA PROVIDER ID#
OH4118652Medicare ID - Type UnspecifiedMEDICARE