Individual provider Active NPI

Pamela Barone Stover, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Hendersonville, NC
National Provider Identifier
1134367394
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
552 Issued in NC
Practice address
600 5TH Ave W
Hendersonville, NC 28739-4263
Phone
(828) 697-1343
Fax
(828) 697-3224
NPI assigned
Jan 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 552 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 552 NC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 552 NC

Addresses

Primary practice location

600 5TH Ave W
Hendersonville, NC 28739-4263

Mailing address

1036 Branchview Dr Ste 100
Concord, NC 28025-0112
Phone (704) 886-1918

Other identifiers 1

IdentifierTypeStateIssuer
P00897454OtherNCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000649 NC Practitioner - Podiatry 4082769641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell J Barone DPM PAGroup PAC ID 5597808865, 2 clinicians

Practice addresses (Care Compare)

600 5TH Ave W
Hendersonville, NC 28739-4206
Phone (828) 697-1343

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions25
Removal of nail tissue340
Removal or shaving of skin growth256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Russell J Barone DPM PA Primary Podiatric Medicine CurrentSince Oct 1, 2022 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine PastSince Feb 21, 2021 Accepting new patients

Locations

600 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-3653

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fe81710a-637d-4db2-97ce-b53c4afe449d/

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1134367394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 BRANCHVIEW DR STE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250112",
            "telephone_number": "704-886-1918",
            "fax_number": "704-257-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 5TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394263",
            "telephone_number": "828-697-1343",
            "fax_number": "828-697-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVER",
        "first_name": "PAMELA",
        "middle_name": "BARONE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "552",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "552",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00897454",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.