Individual provider Active NPI

Phillip A Stawski, MD

  • Emergency Medicine Physician
  • North Platte, NE
National Provider Identifier
1023110996
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301096161 Issued in MI
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 696-8000
Fax
(308) 696-8349
NPI assigned
Sep 2, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.088278 OH
Emergency Medicine Physician 207P00000X 4301096161 MI Primary
Emergency Medicine Physician 207P00000X 28091 NE

Addresses

Primary practice location

601 W Leota St
North Platte, NE 69101-6525

Mailing address

601 W Leota St
North Platte, NE 69101-6525
Phone (308) 696-8000

Other identifiers 1

IdentifierTypeStateIssuer
10025588700MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081216000709 OR Practitioner - Emergency Medicine 0749289718 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Asante CurrentSince Dec 20, 2021 Accepting new patients
Asante Ashland Community Hospital, LLC CurrentSince Dec 20, 2021 Accepting new patients
Asante CurrentSince Dec 20, 2021 Accepting new patients
Asante Three Rivers Medical Center, LLC CurrentSince Dec 20, 2021 Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine Past Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Community Memorial Hospital Past Accepting new patients
North Platte Nebraska Physician Group LLC Past Accepting new patients

Locations

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1023110996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-696-8000",
            "fax_number": "308-696-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W LEOTA ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016525",
            "telephone_number": "308-696-8000",
            "fax_number": "308-696-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWSKI",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.088278",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301096161",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "28091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025588700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.