Organization Active NPI

Richard a Stone M.D. PLLC

  • Dermatology Physician
  • Sterling Heights, MI
National Provider Identifier
1821034794
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
RS039621 Issued in MI
Legal business name
RICHARD A STONE M.D. PLLC
Practice address
14460 Lakeside Cir
Suite 100
Sterling Heights, MI 48313-1348
Phone
(586) 685-3285
Fax
(586) 685-3286
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Richard Alan Stone, M.D.NPI 1174500011
Title
Owner
Phone
(586) 226-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X RS039621 MI Primary

Addresses

Primary practice location

14460 Lakeside Cir
Suite 100
Sterling Heights, MI 48313-1348

Mailing address

14460 Lakeside Cir
Suite 100
Sterling Heights, MI 48313-1348
Phone (586) 685-3285

Other names 1

  • Stone Dermatology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060630000006 MI Part B Supplier - Clinic/Group Practice 1355353749 Receives reassigned benefits from 3 practitioners
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

14460 Lakeside Cir
Ste 10
Sterling Hts, MI 48313

14460 Lakeside Cir
Ste 100
Sterling Hts, MI 48313
Phone (586) 685-3285

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1821034794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14460 LAKESIDE CIR",
            "address_2": "SUITE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131348",
            "telephone_number": "586-685-3285",
            "fax_number": "586-685-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14460 LAKESIDE CIR",
            "address_2": "SUITE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131348",
            "telephone_number": "586-685-3285",
            "fax_number": "586-685-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A STONE M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-226-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "RS039621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Dermatology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.