Terrell L Stone

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

42D0916819 Issued in SC

Legal business name

TERRELL L STONE

Doing business as

St Matthews Family Practice

Practice address

725 Harry C Raysor Dr
St Matthews, SC 29135-8403

Phone

(803) 874-3902

Fax

(803) 874-3905

NPI assigned

Feb 16, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrell L Stone, MD

Title

Owner

Phone

(803) 874-3902

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St Matthews Family Practice Doing business as

Tax ID family

St Matthews Family Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Terrell L Stone

  dba St Matthews Family Practice

  • Rural Health Clinic/Center
  • St Matthews, SC
  • NPI 1992911127
  NPD tax ID

Locations

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1790759520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291350638",
            "telephone_number": "803-874-3902",
            "fax_number": "803-874-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HARRY C RAYSOR DR",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291358403",
            "telephone_number": "803-874-3902",
            "fax_number": "803-874-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRELL L STONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-874-3902",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13583",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "42D0916819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Matthews Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Sellers
• Hilda Shirer
• St. Matthews K-8 School
• State of South Carolina (SC Dhec)
• Ashlee Rose Stone, COTA
• Terrell L Stone (St Matthews Family Practice)
• Carolyn Rebecca Thompson, DMD
• Michele Roumillat Turberville
• Ronnie Darrell Tyson, PHARM.D.
• Kori Waters, LPN

• Clinical Medical Laboratory in St Matthews, SC
• Providers in St Matthews, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.