Active NPI
Michael Charles Stoner, M.D.
- General Practice Physician
- Terre Haute, IN
National Provider Identifier
1215078100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01040862A
- Practice address
- 3387 S US Highway 41
Terre Haute, IN 47802-3727 - Phone
- (812) 232-5532
- Fax
- (812) 232-2574
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01040862A | IN | Primary |
Addresses
Primary practice location
3387 S US Highway 41
Terre Haute, IN 47802-3727
Mailing address
RR 7 Box 1350
Bloomfield, IN 47424-8007
Phone (812) 381-2590
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040862A | IN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Koslow M.D.,Inc | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- Terre Haute, IN
- NPI 1497028989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215078100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 7 BOX 1350",
"city": "BLOOMFIELD",
"state": "IN",
"postal_code": "474248007",
"telephone_number": "812-381-2590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3387 S US HIGHWAY 41",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023727",
"telephone_number": "812-232-5532",
"fax_number": "812-232-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONER",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01040862A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.