Active NPI
Frederic Murray Stone, M.D.
- Pediatric Cardiology Physician
- St Louis Park, MN
National Provider Identifier
1417264821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 19760
- Practice address
- 8420 Westmoreland LN
St Louis Park, MN 55426-1929 - Phone
- (952) 210-3935
- NPI assigned
- Sep 7, 2010
- Last updated
- Sep 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 19760 | MN | Primary |
Addresses
Primary practice location
8420 Westmoreland LN
St Louis Park, MN 55426-1929
Mailing address
8420 Westmoreland LN
St Louis Park, MN 55426-1929
Phone (952) 210-3935
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19760 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1417264821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 WESTMORELAND LN",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261929",
"telephone_number": "952-210-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 WESTMORELAND LN",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261929",
"telephone_number": "952-210-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "FREDERIC",
"middle_name": "MURRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MN",
"license": "19760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.