Steven V Gard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-27440 Issued in MT

Practice address

16 West Main, Box Q
White Sulphur Spings, MT 59645

Phone

(406) 547-3321

Fax

(406) 547-3298

NPI assigned

Oct 2, 2013

Last updated

Oct 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powell Valley Healthcare Inc

  dba Powell Valley Clinic

  • Family Medicine Physician
  • Powell, WY
  • NPI 1699721316
  Medicare reassignment NPD
• McCone County Health Center Inc

  dba McCone Clinic

  • Medical Physician Assistant
  • Circle, MT
  • NPI 1740464916
  Medicare reassignment
• McCone County Health Center Inc

  dba McCone Clinic

  • Rural Health Clinic/Center
  • Circle, MT
  • NPI 1881234185
  NPD
• Powell Valley Health Care Inc

  • Critical Access Hospital
  • Powell, WY
  • NPI 1497753115
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1013344365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WEST MAIN, BOX Q",
            "city": "WHITE SULPHUR SPINGS",
            "state": "MT",
            "postal_code": "59645",
            "telephone_number": "406-547-3321",
            "fax_number": "406-547-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WEST MAIN, BOX Q",
            "city": "WHITE SULPHUR SPINGS",
            "state": "MT",
            "postal_code": "59645",
            "telephone_number": "406-547-3321",
            "fax_number": "406-547-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "STEVEN",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-27440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW GRAD",
            "identifier": "MED-PAC-LIC-27440",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.