Basic Information
| Provider Information | |||||||||
| NPI: | 1609871490 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STONER | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | RYAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 409 S 2ND ST | ||||||||
| Address2: | SUITE 2F | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171041612 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 4300 LONDONDERRY RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171095317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172318772 | ||||||||
| FaxNumber: | 7172318435 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 12/19/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 12/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204D00000X | OS-009226-L | PA | N | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine & OMM | 208M00000X | OS009226L | PA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | OS009226L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 50059538 | 01 | PA | CAPITAL BC-WMG GBH | OTHER | 026971 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 105443 | 01 | PA | JOHNS HOPKINS | OTHER | 50086700 | 01 | PA | CAPITAL BLUECROSS WMG WH | OTHER | 100489 | 01 | PA | GEISINGER | OTHER | 1551852 | 01 | PA | GATEWAY-WMG (SPEC/GBH) | OTHER | 837001000 | 05 | MD | MEDICAID | 001801178 | 05 | PA | MEDICAID | 7783099 | 01 | PA | AETNA | OTHER |