Provider Demographics
NPI:1780790444
Name:STONE, RICHARD A (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:5TH FLOOR MERCY PHO/CVO
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7101
Mailing Address - Country:US
Mailing Address - Phone:419-251-9830
Mailing Address - Fax:419-251-1826
Practice Address - Street 1:60 MERCY CT
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-1331
Practice Address - Country:US
Practice Address - Phone:606-726-6540
Practice Address - Fax:606-723-4364
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2017-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY26876208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY020008943OtherTRAVELERS MEDICARE
KY000000050184OtherANTHEM
KY4329908OtherAETNA
KY021113600OtherUS DEPARTMENT OF LABOR
KY163843500OtherUS DEPT OF LABOR
020008943OtherPALMETTO, GBA
KY1026107OtherPASSPORT HEALTH
KY8592603606OtherUNITED HEALTHCARE
KYK007579OtherPGBA, LLC
KY64268766Medicaid
020008943OtherRAILROAD MEDICARE
KY1305931OtherCIGNA
KYK219130Medicare PIN
020008943Medicare PIN
KY000000050184OtherANTHEM
KY4329908OtherAETNA
KY8592603606OtherUNITED HEALTHCARE