NPIMap

Organization Active NPI

Eudiamondia, PLLC

  • Internal Medicine Physician
  • Saint Johns, FL
National Provider Identifier
1447759972
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EUDIAMONDIA, PLLC
Practice address
112 Ellsworth Cir
Saint Johns, FL 32259-7228
Phone
(229) 392-7331
NPI assigned
Feb 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2018

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

Authorized official

Name
Ryan Stoner, MDNPI 1982891529
Title
Owner
Phone
(229) 392-7331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

112 Ellsworth Cir
Saint Johns, FL 32259-7228

Mailing address

112 Ellsworth Cir
Saint Johns, FL 32259-7228
Phone (229) 392-7331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518220800000",
    "number": "1447759972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELLSWORTH CIR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597228",
            "telephone_number": "229-392-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELLSWORTH CIR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597228",
            "telephone_number": "229-392-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUDIAMONDIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-10",
        "last_updated": "2018-02-10",
        "status": "A",
        "authorized_official_last_name": "STONER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-392-7331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; 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.