Active NPI
Anna Marika Stone, M.D.
- Pediatric Anesthesiology Physician
- Council Bluffs, IA
National Provider Identifier
1386668325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 23934
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0189393590 | Other | NY | BLUE CHOICE GROUP ID |
| P010222795 | Other | NY | BLUE CHOICE ID |
| CC0135 | Other | NY | RAILROAD MEDICARE GRP ID |
| MDH705 | Other | NY | PREFERRED CARE |
| 699631 | Other | NY | MVP PROVIDER ID |
| 252021 | Other | MIDLANDS CHOICE | |
| 7924521 | Other | NY | AETNA ID |
| 0734061 | Medicaid | IA | |
| 2001841 | Medicaid | NE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-43271 | IA | MD | Pediatric Anesthesiology Physician |
| 01087433A | IN | MD | Pediatric Anesthesiology Physician |
| 60919 | MN | MD | Pediatric Anesthesiology Physician |
| 23934 | NE | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Pediatric Dentistry LLC | Past | 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.
-
dba Omaha Pain Specialists, LLC
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
- NPI 1992127609
-
- Dental Clinic/Center
- Rochester, MN
- NPI 1609272822
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.