Provider Demographics
NPI:1285600452
Name:STONE, JONATHAN D (MD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:D
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27810 SUMMERGATE BLVD
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6919
Mailing Address - Country:US
Mailing Address - Phone:813-388-2948
Mailing Address - Fax:813-388-6827
Practice Address - Street 1:27810 SUMMERGATE BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6919
Practice Address - Country:US
Practice Address - Phone:813-388-2948
Practice Address - Fax:813-388-6827
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN51654208100000X
FLME1614952081P2900X
SD5183208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD2300267OtherMEDICA
SD5183OtherDAKOTACARE
SD557891034449OtherPREFERRED ONE
MN141K7STOtherCC SYSTEMS/ BLUE PLUS
MN141K7STOtherBLUE CROSS
SD4996032OtherBLUE CROSS
SD240785OtherMIDLANDS CHOICE
SD370624200OtherDEPT OF LABOR
SD7101780Medicaid
IA0573162Medicaid
NE46022474373Medicaid
MN92411422907OtherPRIMEWEST
SDP00078236OtherRR MEDICARE
TNQ006954Medicaid
SD1908620OtherARAZ/ AMERICA'S PPO
SD30864OtherSANFORD HEALTH PLAN
SD57105K008OtherWPS TRICARE
MN601520400Medicaid
SDHP42930OtherHEALTHPARTNERS
SD5183OtherDAKOTACARE