Stones River Dermatology PLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD31447 Issued in TN

Legal business name

STONES RIVER DERMATOLOGY PLC

Practice address

515 Highland Ter Ste a
Murfreesboro, TN 37130-2423

Phone

(615) 904-2010

Fax

(615) 904-6285

NPI assigned

Dec 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ronald A Nelson, MDNPI 1760407944

Title

Owner/President

Phone

(615) 904-2010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABBBA

Practitioners 8

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

• Ronald Andrew Nelson, MD

  • Dermatology Physician
  • Murfreesboro, TN
  • NPI 1760407944
  Medicare reassignment Care Compare group NPD Authorized official
• John Starling III, M.D.

  • Dermatology Physician
  • Milwaukee, WI
  • NPI 1487773206

  TN

  Medicare reassignment Care Compare group NPD
• Taylor Newman Copeland, PA-C

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1730788944
  Medicare reassignment Care Compare group
• Caitlyn Dillon, PA-C

  • Physician Assistant
  • Murfreesboro, TN
  • NPI 1467041186
  Medicare reassignment Care Compare group
• Alexandra Diez-Arguelles Haines, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1245868629
  Medicare reassignment Care Compare group
• Gillian H Choate, APRN

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1124354162
  Medicare reassignment NPD
• Elizabeth Ann Otter, PA-C

  • Physician Assistant
  • Holland, MI
  • NPI 1639108293

  TN

  Medicare reassignment
• Elizabeth Ann Higney, NP

  • Adult Health Nurse Practitioner
  • Nashville, TN
  • NPI 1366794935
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1609178102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 HIGHLAND TER STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302423",
            "telephone_number": "615-904-2010",
            "fax_number": "615-904-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HIGHLAND TER STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302423",
            "telephone_number": "615-904-2010",
            "fax_number": "615-904-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES RIVER DERMATOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-904-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD31447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Stokes, MD
• Suzanne Marie Stolarz, D.D.S.
• Stonecrest Medical Group - Family Practice of Murfreesboro LLC
• Stonegate Family Dentistry LLC
• Stones River Center
• Stones River Eyecare, PC
• Stones River Manor, Inc.
• Stones River Medical Group PC
• Stones River Medical Management, P.C.
• Stones River Pain & Joint

• Dermatology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.