Physician Compare National (NPI:1508178336)

HEALTHCARE PROVIDER: RICHARD DARREN STONE D.O.

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

Individual Professional Information
NPI	1508178336
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698920817
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130828000553
	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	RICHARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1029 MEDICAL CTR CIR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	MAYFIELD
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	420661189
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180116
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JACKSON PURCHASE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440130
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST MEMORIAL HOSPITAL UNION CITY
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180104
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAPTIST HEALTH PADUCAH
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	180027
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MURRAY-CALLOWAY COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y