Individual provider Active NPI

Anna Marika Stone, M.D.

  • Pediatric Anesthesiology Physician
  • Council Bluffs, IA
National Provider Identifier
1386668325
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
23934 Issued in NE
Practice address
40 Northcrest Dr Ste 1
Council Bluffs, IA 51503-1698
Phone
(712) 328-9605
NPI assigned
Jul 26, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-43271 IA
Pediatric Anesthesiology Physician 207LP3000X 01087433A IN
Pediatric Anesthesiology Physician 207LP3000X 23934 NE Primary
Pediatric Anesthesiology Physician 207LP3000X MD-43271 IA
Pediatric Anesthesiology Physician 207LP3000X 60919 MN

Addresses

Primary practice location

40 Northcrest Dr Ste 1
Council Bluffs, IA 51503-1698

Mailing address

515 N 68TH St
Omaha, NE 68132-2656
Phone (402) 708-1855

Other practice location 1

1705 Broadway Ave S Ste B
Rochester, MN 55904-7960
Phone (507) 288-0102

Other identifiers 9

IdentifierTypeStateIssuer
G0189393590OtherNYBLUE CHOICE GROUP ID
P010222795OtherNYBLUE CHOICE ID
CC0135OtherNYRAILROAD MEDICARE GRP ID
MDH705OtherNYPREFERRED CARE
699631OtherNYMVP PROVIDER ID
252021OtherMIDLANDS CHOICE
7924521OtherNYAETNA ID
0734061MedicaidIA
2001841MedicaidNE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-43271IAMDPediatric Anesthesiology Physician
01087433AINMDPediatric Anesthesiology Physician
60919MNMDPediatric Anesthesiology Physician
23934NEMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Pediatric Dentistry LLC PastSince Sep 27, 2020 Accepting new patients
Anesthesia Services of Omaha LLC Anesthesiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1386668325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 68TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322656",
            "telephone_number": "402-708-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTHCREST DR STE 1",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031698",
            "telephone_number": "712-328-9605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Broadway Ave S Ste B",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559047960",
            "country_code": "US",
            "telephone_number": "507-288-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "ANNA",
        "middle_name": "MARIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-43271",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "IN",
            "license": "01087433A",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NE",
            "license": "23934",
            "primary": true
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "IA",
            "license": "MD-43271",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "MN",
            "license": "60919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE GROUP ID",
            "identifier": "G0189393590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ID",
            "identifier": "P010222795",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP ID",
            "identifier": "CC0135",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDH705",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID",
            "identifier": "699631",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "252021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7924521",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0734061",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001841",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.