Stone Ridge Anesthesia Associates, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

STONE RIDGE ANESTHESIA ASSOCIATES, LLC

Practice address

920 E 56TH St Ste D
Kearney, NE 68847-8628

Phone

(308) 455-3091

Fax

(308) 455-3093

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darian Pike

Title

Administrator

Phone

(308) 455-3091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1255964771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST STE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-455-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 56TH ST STE D",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478628",
            "telephone_number": "308-455-3091",
            "fax_number": "308-455-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "DARIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "308-455-3091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory J Stickney, D.C.
• Debra Stickney
• Erin N Stickney, APRN
• Diane Stittle
• Justis Stolz, MD
• Jacob R. Stotler
• Connie R. Stover, LMHP
• Kimberly Stover, MS CCC-SLP
• Dani Nikole Straetker
• Taylor Stratton

• Anesthesiology Physician in Kearney, NE
• Providers in Kearney, NE by specialty
• Anesthesiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.