| Stone Run Family Medicine | |
|
101 Colonial Way Suite A Rising Sun MD 21911-2272 | |
| (410) 658-6696 | |
| (410) 658-4548 |
| Full Name | Stone Run Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Colonial Way, Rising Sun, Maryland |
| Authorized Official Name and Position | Joseph K Weidner (OWNER) |
| Authorized Official Contact | 4106586696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Run Family Medicine 101 Colonial Way Suite A Rising Sun MD 21911-2272 Ph: (410) 658-6696 | Stone Run Family Medicine 101 Colonial Way Suite A Rising Sun MD 21911-2272 Ph: (410) 658-6696 |
| NPI Number | 1215117767 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Medicare PECOS PAC ID | 9537294426 |
|---|---|
| Medicare Enrollment ID | O20100317000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215117767 | NPI | - | NPPES |
| 142881100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D44373 (Maryland) | Primary |
| Provider Name | Joseph K Weidner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659367829 PECOS PAC ID: 7719012608 Enrollment ID: I20100317000533 |
| Provider Name | Barry O Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497716690 PECOS PAC ID: 8729116330 Enrollment ID: I20100430000736 |
| Provider Name | Timothy E Truman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952834897 PECOS PAC ID: 9335417096 Enrollment ID: I20220809000962 |
| Provider Name | Ashley C Cena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821875915 PECOS PAC ID: 8527401231 Enrollment ID: I20240209002275 |
Calvert Manor for Rehab Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 410-658-6555 |
Wolf Medical Group, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Colonial Way Ste B, Rising Sun, MD 21911 Phone: 443-485-9116 Fax: 877-426-3121 |
Nelmdllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 302-290-3543 Fax: 866-404-2333 |
Dragonfly Pediatrics, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Ryan Dr, Rising Sun, MD 21911 Phone: 443-907-5279 |
Clinica Medicina Primaria De Rising Sun Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Colonial Way Ste A, Rising Sun, MD 21911 Phone: 443-350-0989 |
Endeavour Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1881 Telegraph Rd, Rising Sun, MD 21911 Phone: 443-275-9164 |