Active NPI
Michelle Ann Stone, PA-C
- Surgical Physician Assistant
- Renton, WA
National Provider Identifier
1932496296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60539003
- Practice address
- 4011 Talbot Rd S
Suite 300
Renton, WA 98055-5773 - Phone
- (425) 656-5060
- Fax
- (425) 656-5047
- NPI assigned
- Jul 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 006167 | GA | |
| Surgical Physician Assistant | 363AS0400X | PA60539003 | WA | Primary |
Addresses
Primary practice location
4011 Talbot Rd S
Suite 300
Renton, WA 98055-5773
Mailing address
4011 Talbot Rd S
Suite 300
Renton, WA 98055-5773
Phone (425) 656-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I970157 | Other | GA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006167 | GA | MD | Physician Assistant |
| PA60539003 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Dekalb PC | Past | Accepting new patients | |
| Atlanta Brain and Spine Care, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurological Surgery Physician
- Atlanta, GA
- NPI 1659376275
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1245206119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1932496296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S",
"address_2": "SUITE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555773",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 TALBOT RD S",
"address_2": "SUITE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555773",
"telephone_number": "425-656-5060",
"fax_number": "425-656-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "006167",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60539003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I970157",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.