Provider Demographics
NPI:1487066478
Name:STONY FIELD MANAGEMENT PC
Entity type:Organization
Organization Name:STONY FIELD MANAGEMENT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GERARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:402-884-6700
Mailing Address - Street 1:2255 S 132ND ST # 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2573
Mailing Address - Country:US
Mailing Address - Phone:402-884-6700
Mailing Address - Fax:402-502-8202
Practice Address - Street 1:2255 S 132ND ST # 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2573
Practice Address - Country:US
Practice Address - Phone:402-884-6700
Practice Address - Fax:402-502-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-23
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty