Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS-009226-L | PA |
Y | 207R00000X | Internist | OS009226L | PA |
Y | 111NI0900X | Internist | OS009226L | PA |
NPI | 1609871490 |
---|---|
Provider Name | Dr. Thomas Ryan Stoner |
First Address | Harrisburg, PA 17104-1612 |
Second Address | Harrisburg, PA 17109-5317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 19/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001801178 | (05) | PA |
026971 | HIGHMARK BLUE SHIELD (01) | PA |
100489 | GEISINGER (01) | PA |
105443 | JOHNS HOPKINS (01) | PA |
1551852 | GATEWAY-WMG (SPEC/GBH) (01) | PA |
50059538 | CAPITAL BC-WMG GBH (01) | PA |
50086700 | CAPITAL BLUECROSS WMG WH (01) | PA |
7783099 | AETNA (01) | PA |
837001000 | (05) | MD |
H19291 | (02) | PA |