Active NPI
Penny Stone
- Physician Assistant
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1553
- Practice address
- 1921 Stonecipher Blvd
Ada, OK 74820 - Phone
- (580) 421-4570
- Fax
- (580) 421-6261
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1553 | OK | Primary |
Addresses
Primary practice location
1921 Stonecipher Blvd
Ada, OK 74820
Mailing address
1921 Stonecipher Blvd
Ada, OK 74820
Phone (580) 421-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Past | Accepting new patients |
Locations
1007 N Country Club Rd
Ada, OK 74820
Phone (580) 421-8700
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
1001 N Country Club Rd
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
Interoperability endpoints
- pstone28558@direct.chickasawnationhealth.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Ada, OK
- NPI 1720085178
-
- Primary Care Clinic/Center
- Ardmore, OK
- NPI 1730249186
-
- Home Health Agency
- Ada, OK
- NPI 1811739071
-
- Durable Medical Equipment & Medical Supplies
- Ada, OK
- NPI 1295399095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1801958152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 STONECIPHER BLVD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-421-4570",
"fax_number": "580-421-6261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER BLVD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-421-4570",
"fax_number": "580-421-6261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "PENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.