Advanced Provider Solutions, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

ADVANCED PROVIDER SOLUTIONS, LLC

Practice address

245 Cobb Rd
Dothan, AL 36301-7504

Phone

(334) 547-9186

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Wade Stewart, PA-CNPI 1427578970

Title

Sole Member

Phone

(334) 547-9186

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Wade Stewart, PA-C

  • Physician Assistant
  • Dothan, AL
  • NPI 1427578970
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1013558147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 COBB RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363017504",
            "telephone_number": "334-547-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 COBB RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363017504",
            "telephone_number": "334-547-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROVIDER SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "334-547-9186",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.