Healthcare Provider Details

I. General information

NPI: 1518150168
Provider Name (Legal Business Name): NORMAN EDWARD STONE III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MALCOLM GROW MEDICAL CLINIC AND SURGERY CENTER 1060 WEST PERIMETER RD
JOINT BASE ANDREWS MD
20762
US

IV. Provider business mailing address

1503 LAFAYETTE DR
ALEXANDRIA VA
22308-1112
US

V. Phone/Fax

Practice location:
  • Phone: 240-612-1700
  • Fax:
Mailing address:
  • Phone: 781-354-6596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number9201A
License Number StateWY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMED-PHYS-LIC-24372
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101253175
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35.123056
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number048041
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: