Active NPI
Stephen Lynn Short, M.D.
- Internal Medicine Physician
- Kerrville, TX
National Provider Identifier
1033215959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F-2002
- Practice address
- 3600 Memorial Blvd
Kerrville, TX 78028-5768 - Phone
- (830) 792-2488
- Fax
- (830) 792-2488
- NPI assigned
- Sep 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F-2002 | TX | Primary |
Addresses
Primary practice location
3600 Memorial Blvd
Kerrville, TX 78028-5768
Mailing address
432 Oak Wood Rd
Kerrville, TX 78028-8905
Phone (830) 896-1688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120919000771 | TX | Order and Referring Only - Infectious Disease | 5597913343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-2002 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033215959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 OAK WOOD RD",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780288905",
"telephone_number": "830-896-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MEMORIAL BLVD",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285768",
"telephone_number": "830-792-2488",
"fax_number": "830-792-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "STEPHEN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F-2002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
- Andrea Sheets
- Shelby Braswell Schwing (Schwing Counseling PLLC)
- Kristin Shepherd, O.T.R./L.
- Sheryl D Galt MD PA
- Gary Shimotsu, M.D.
- Jon Dante Sibert, D.C.
- Sid Peterson Memorial Hospital (Peterson Hospice)
- Sid Peterson Memorial Hospital (Peterson Home Care)
- Sid Peterson Memorial Hospital (Peterson Home Care)
- Sid Peterson Memorial Hospital (Peterson Community Care Clinic RHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.