Physician Compare National (NPI:1154437937)

HEALTHCARE PROVIDER: JONATHAN BRUCE STONE DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154437937
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577614932
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012000749
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STONE
	Individual professional last name
Provider First Name	JONATHAN
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	700 NW 7TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 115
	Group Practice or individual's line 2 address
City	OKLAHOMA CITY
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	731021212
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370203
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COMMUNITY HOSPITAL, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370212
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	370037
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ANTHONY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	520096
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WHEATON FRANCISCAN HEALTHCARE ALL SAINTS
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y