Individual provider Active NPI

Donald L Stone, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fairlawn, OH
National Provider Identifier
1588648729
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003271S Issued in OH
Practice address
3090 W Market St
Suite 112
Fairlawn, OH 44333-3608
Phone
(330) 867-3376
Fax
(330) 867-3377
NPI assigned
Dec 1, 2005
Last updated
Jun 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36003271S OH Primary

Addresses

Primary practice location

3090 W Market St
Suite 112
Fairlawn, OH 44333-3608

Mailing address

3090 W Market St
Suite 112
Fairlawn, OH 44333-3608
Phone (330) 867-3376

Other identifiers 1

IdentifierTypeStateIssuer
2436554MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031210000116 OH Practitioner - Podiatry 3678479789 Reassigns benefits to 1 organization
O20100930008118 OH DME Supplier - Physician - Podiatry 7810892478 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairlawn, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3090 W Market St
Suite 112
Fairlawn, OH 44333-3615
Phone (330) 867-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions102
Removal of nail tissue436
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003271SOHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Podiatry Assoc. Inc Foot & Ankle Surgery CurrentSince Feb 1, 2002 Accepting new patients

Locations

3090 W Market St
Ste 112
Fairlawn, OH 44333
Phone (330) 867-3376

Organizations & group practices 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1588648729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 W MARKET ST",
            "address_2": "SUITE 112",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333608",
            "telephone_number": "330-867-3376",
            "fax_number": "330-867-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 W MARKET ST",
            "address_2": "SUITE 112",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333608",
            "telephone_number": "330-867-3376",
            "fax_number": "330-867-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003271S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2436554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.