Individual provider Active NPI

Cheryle A Stone, MD

  • Family Medicine Physician
  • Tunkhannock, PA
National Provider Identifier
1457345852
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD041626E Issued in PA
Practice address
5950 Sr 6
4TH Floor
Tunkhannock, PA 18657-7905
Phone
(570) 836-6808
Fax
(570) 836-5536
NPI assigned
Aug 31, 2005
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD041626E PA Primary

Addresses

Primary practice location

5950 Sr 6
4TH Floor
Tunkhannock, PA 18657-7905

Mailing address

5950 Sr 6
4TH Floor
Tunkhannock, PA 18657-7905
Phone (570) 836-6808

Other identifiers 1

IdentifierTypeStateIssuer
1027011330001MedicaidPA

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1457345852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 SR 6",
            "address_2": "4TH FLOOR",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577905",
            "telephone_number": "570-836-6808",
            "fax_number": "570-836-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SR 6",
            "address_2": "4TH FLOOR",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186577905",
            "telephone_number": "570-836-6808",
            "fax_number": "570-836-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "CHERYLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD041626E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027011330001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.