Physician Compare National (NPI:1528064219)

HEALTHCARE PROVIDER: THOMAS W STONE M.D.

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

Individual Professional Information
NPI	1528064219
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052591567
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110215000636
	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	THOMAS
	Individual professional first 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	1995
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PSC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749183648
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1406 W 5TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	LONDON
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	407411688
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8592633900
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	150172
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS' MEDICAL CENTER LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180143
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT JOSEPH EAST
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y