Active NPI
Mary E Stone, M.D.
- Internal Medicine Physician
- Azle, TX
National Provider Identifier
1093897449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J7383
- Practice address
- 108 Denver TRL
Azle, TX 76020-3614 - Phone
- (817) 820-4906
- Fax
- (817) 820-4815
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J7383 | TX | Primary |
Addresses
Primary practice location
108 Denver TRL
Azle, TX 76020-3614
Mailing address
108 Denver TRL
Azle, TX 76020-3614
Phone (817) 820-4906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038205302 | Medicaid | TX | |
| 8B2957 | Other | TX | BLUE CROSS & BLUE SHIEDL |
| 930109733 | Other | TX | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1093897449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 DENVER TRL",
"city": "AZLE",
"state": "TX",
"postal_code": "760203614",
"telephone_number": "817-820-4906",
"fax_number": "817-820-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 DENVER TRL",
"city": "AZLE",
"state": "TX",
"postal_code": "760203614",
"telephone_number": "817-820-4906",
"fax_number": "817-820-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MARY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J7383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038205302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIEDL",
"identifier": "8B2957",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "930109733",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.