MEDICARE: MICHAEL R STONE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	C-6892	AR
2	207L00000X	Anesthesiology Physician	C-6892	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	050018844	OTHER	AR	RAILROAD MEDICARE
9	050011004	OTHER	AR	RAILROAD MEDICARE (LRPM)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52336	OTHER	AR	BLUE CROSS BLUE SHIELD
2	S03056	OTHER	AR	NOVASYS
3	172478000	OTHER	AR	US DOL OWCP (LRPM)
4	770132801	OTHER	AR	ARKANSAS BREASTCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	71033532430	OTHER	AR	QUAL CHOICE
8	171973300	OTHER	AR	US DEPT. OF LABOR OWCP
10	15492000020	OTHER	AR	QUAL CHOICE (LRPM)

General Provider Information

NPI Number	:	1336136068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R STONE M.D.

Provider Business Mailing Address
First Line	:	4300 W 7TH ST DEPT OF
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5446
Country	:	US
Telephone Number	:	501-257-1000
Fax Number	:	501-257-6810

Provider Business Practice Location Address
First Line	:	4300 W 7TH ST DEPT OF
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-5446
Country	:	US
Telephone Number	:	501-257-1000
Fax Number	:	501-257-6810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	04/12/2021

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Directions to “ MICHAEL R STONE M.D.” Practice Location

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