Healthcare Provider Details

I. General information

NPI: 1407774888
Provider Name (Legal Business Name): TIMOTHY ANDREW STONE CRNA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 W BOWERY ST # OH
AKRON OH
44308-1046
US

IV. Provider business mailing address

3414 RHAPSODY LN
NEW FRANKLIN OH
44216-9349
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-1000
  • Fax:
Mailing address:
  • Phone: 440-454-0356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number158755
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: