W Kenneth Stone, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A36413 Issued in CA

Practice address

2656 Edith Ave
Suite B
Redding, CA 96001-3030

Phone

(530) 244-2882

Fax

(530) 244-3703

NPI assigned

Oct 10, 2006

Last updated

Oct 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardio Vascular Imaging Services Inc

  • Cardiovascular Specialist/Technologist
  • Redding, CA
  • NPI 1083737100
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1275621823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 EDITH AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013030",
            "telephone_number": "530-244-2882",
            "fax_number": "530-244-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 EDITH AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013030",
            "telephone_number": "530-244-2882",
            "fax_number": "530-244-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "W",
        "middle_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A36413",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A36413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C369420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Noel Stone, BA
• Heather Lenore Stone, PA
• Luke M. Stone, TFC PARENT
• Marjeanne Louise Stone, M-RAS, CADC II, NCAC
• Shannon K. Stone, TFC PARENT
• Ryan Stotka, PHARM.D.
• Lisa D Stout, MFTI
• Helene Iris Stovall, LCSW
• Jerry Stovall, L.C.S.W.
• Jolene K Stoxen

• Vascular Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.