Shawn T Stone (NPI# 1891040689, PAC ID# 6103103569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1891040689 |
| PAC ID by PECOS | 6103103569 |
| Professional Enrollment ID | I20170803000530 |
| Full Name | Shawn T Stone |
| Organization Legal Name | LECONTE RADIOLOGY PC |
| Address |
213 E Michigan Ave Leconte Radiology Stone Berthoud CO 80513-1374 |
| Phone Number | 8659775567 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 1850373705 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370001 | HILLCREST MEDICAL CENTER |
| 370202 | HILLCREST HOSPITAL SOUTH |
| 030078 | PHOENIX INDIAN MEDICAL CENTER |
| 450346 | BAPTIST BEAUMONT HOSPITAL |
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3080 College St, Beaumont, TX 77701-4606 | 4092125000 | BAPTIST PHYSICIAN NETWORK |
| 3555 Stagg Dr, Beaumont, TX 77701-4509 | 4092125922 | BAPTIST PHYSICIAN NETWORK |
| 213 E Michigan Ave, Leconte Radiology Stone, Berthoud, CO 80513-1374 | 8659775567 | LECONTE RADIOLOGY PC |
| 213 E Michigan Ave, Berthoud, CO 80513-1374 | 9185794200 | TULSA X-RAY LABORATORY INC |
| 213 E Michigan Ave, Dr Stones Telerad Home Add, Berthoud, CO 80513-1374 | 6782390420 | QUANTUM RADIOLOGY PC |
| 4212 N 16th St, Phoenix, AZ 85016-5319 | 6022631200 | DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM |
| Organization Legal Name | LECONTE RADIOLOGY PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidal I Dabbasi | Diagnostic Radiology | Leconte Radiology PC | 5112 Bellevue Falls Ln, Sugar Land, TX 77479-6785 |
| Jonathan G Reed | Diagnostic Radiology | Leconte Radiology PC | 2140 Sul Ross St, Houston, TX 77098-2418 |
| Jonathan Andrew Jaksha | Diagnostic Radiology | Leconte Radiology PC | 9232 Ne 1st St, Bellevue, WA 98004-4932 |
| Farukh S Mian | Diagnostic Radiology | Leconte Radiology PC | 12886 E Desert Trl, Scottsdale, AZ 85259-3560 |
| Kathryn Cambron | Diagnostic Radiology | Leconte Radiology PC | 534 13th Ave W, Kirkland, WA 98033-4831 |
| Eugene P Chung | Diagnostic Radiology | Leconte Radiology PC | 11583 E Juan Tabo Rd, Scottsdale, AZ 85255-5748 |
| Alexander D Serra | Diagnostic Radiology | Leconte Radiology PC | 5426 Hyada Blvd Ne, Tacoma, WA 98422-1620 |
| Shannon Patrick Calhoun | Diagnostic Radiology | Leconte Radiology PC | 212 Homestead Dr, Bartlesville, OK 74006-2919 |
| Timothy A Conner | Diagnostic Radiology | Leconte Radiology PC | 5 Stony Point Rd, Charleston, WV 25314-1663 |
| Kevin Liaw | Diagnostic Radiology | Leconte Radiology PC | 266 Joule St, Alcoa, TN 37701-2422 |
| Street Address |
213 E MICHIGAN AVE LECONTE RADIOLOGY STONE |
| City | BERTHOUD |
| State | CO |
| Zip | 80513-1374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dena S Sheppard Madden | Family Medicine | Banner Health Physicians Colorado LLC | 401 10th St, Berthoud, CO 80513-1381 |
| Aaron James Schmucker | Nurse Practitioner | Banner Health Physicians Colorado LLC | 401 10th St, Berthoud, CO 80513-1381 |
| Kelly K Murtagh | Physical Therapy | 516 Mountain Ave, Berthoud, CO 80513-1848 | |
| Vicki Lynne Hitchcock | Physical Therapy | Executive Physical Therapy, Inc. | Physical Therapy Doctors, 247 Mountain Ave, Berthoud, CO 80513-2319 |
| Caroline Corning Creager | Physical Therapy | Executive Physical Therapy, Inc. | Physical Therapy Doctors, 247 Mountain Ave, Berthoud, CO 80513-2319 |
| Edeltraud Archinger | Clinical Social Worker | 328 Massachusetts Ave, Berthoud, CO 80513-5003 | |
| Corey D Pratt | Optometry | Wm Rex Eland Od PC | 1211 Lake Ave, Suite 102, Berthoud, CO 80513-9381 |
| William R Eland | Optometry | Wm Rex Eland Od PC | 1211 Lake Ave, Suite 102, Berthoud, CO 80513-9381 |
| City | BERTHOUD |
| Zip Code | 80513 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BERTHOUD + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.