Organization Active NPI

Healthstone Primary Care Partners LLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1205280260
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME84181 Issued in FL
Legal business name
HEALTHSTONE PRIMARY CARE PARTNERS LLC
Practice address
3700 Washington St
Suite 305
Hollywood, FL 33021-8256
Phone
(954) 981-7060
Fax
(954) 983-8510
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Charles B Stone, MDNPI 1881700615
Title
Manager
Phone
(954) 559-6400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME84181 FL Primary

Addresses

Primary practice location

3700 Washington St
Suite 305
Hollywood, FL 33021-8256

Mailing address

797 Sunflower Cir
Weston, FL 33327-2113
Phone (954) 559-6400

Other identifiers 1

IdentifierTypeStateIssuer
L16000050732OtherFLSTATE OF FLORIDA CORPORATION ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214000968 FL Part B Supplier - Clinic/Group Practice 7416230693 Receives reassigned benefits from 29 practitioners
Practice locations: Hollywood, FL; Margate, FL; Miami, FL; Miramar, FL; North Miami Beach, FL; Pembroke Pines, FL; Plantation, FL; Weston, FL…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2231882Healthstone Primary Care Partners, LLC3700 Washington St #500C, Hollywood, FL 33021Certificate of waiverAug 5, 2027

National Provider Directory

National Provider Directory

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

4705 SW 148th Ave
Ste 102
Davie, FL 33330

3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888

3041 Johnson St
Hollywood, FL 33021

3700 Johnson St
Hollywood, FL 33021
Phone (954) 265-2550

2229 N Commerce Pkwy
Ste 240
Weston, FL 33326
Phone (954) 328-9770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1205280260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 SUNFLOWER CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272113",
            "telephone_number": "954-559-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST",
            "address_2": "SUITE 305",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-981-7060",
            "fax_number": "954-983-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTONE PRIMARY CARE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-559-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA CORPORATION ID",
            "identifier": "L16000050732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.