Lisa B Stone, M. D.

Key facts

NPI

1285722504

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

11783 (MS)

Practice address

3550 Highway 468 West
Whitfield, MS 39193-0157

Phone

(601) 351-8000

Fax

(601) 351-8301

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2010.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1285722504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "LISA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "11783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017790",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitfield, MS

• Roger A Scott, LPN
• Joshua Seymour, DO
• Stephen B. Shoop, M.D.
• Timothy D. Shumaker, M.D.
• Ashlie Stepro
• William P. Stone, D.M.D.
• Carolyn Frances Tingle, M. D.
• Larry R Travis, LCMHT/LSW/CCSS-II
• Clint Trest, PMHNP
• Chassity Nicole Vanderford, NP

All providers in Whitfield, MS · Pediatrics Physician in Mississippi