Individual provider Active NPI

Gordon E Steward, PA

  • Physician Assistant
  • Newcastle, WY
National Provider Identifier
1164494894
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1382 Issued in CO
Practice address
1124 Washington Blvd
Newcastle, WY 82701-2972
Phone
(307) 746-4491
NPI assigned
Feb 6, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1382 CO Primary
Physician Assistant 363A00000X PA1147 WY

Addresses

Primary practice location

1124 Washington Blvd
Newcastle, WY 82701-2972

Mailing address

1241 W Mineral Ave
Suite100
Littleton, CO 80120-5685
Phone (303) 759-0854

Other practice location 1

921 Ballancee Ave
Lusk, WY 82225-5245
Phone (307) 334-4000

Other identifiers 2

IdentifierTypeStateIssuer
970016226OtherCORR MEDICARE
01550250MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231129003553 WY Practitioner - Physician Assistant 4385811231 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Weston County Hospital DistrictGroup PAC ID 0042293276, 12 clinicians
Cedar Hills Family Clinic, P.C.Group PAC ID 7315929056, 7 clinicians
Niobrara County Hospital DistrictGroup PAC ID 7012938780, 7 clinicians

Practice addresses (Care Compare)

1121 Washington Blvd
Newcastle, WY 82701-2968
Phone (307) 746-6720

1124 Washington Blvd
Newcastle, WY 82701-2972
Phone (307) 746-4491

921 Ballancee Ave
Lusk, WY 82225-5245
Phone (307) 334-4000

PO Box
Lusk, WY 82225

PO Box
Lusk, WY 82225-0780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1382COMDProfessional Counselor
PA1147WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weston County Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Weston County Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Greater San Antonio Emergency Physicians, PA Past Accepting new patients
Pridemark Paramedic Services, LLC Past Accepting new patients
Platte Valley Emergency Physicians, PC Past Accepting new patients
Platte Valley Clinic Inc. Past Accepting new patients
Workwellness Inc PastSince Nov 7, 2015 Accepting new patients

Locations

1124 Washington Blvd
Newcastle, WY 82701
Phone (307) 746-3715

Interoperability endpoints

  • Direct secure messaging: gordon.steward.1@14719.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18841/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1164494894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 W MINERAL AVE",
            "address_2": "SUITE100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205685",
            "telephone_number": "303-759-0854",
            "fax_number": "303-759-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 WASHINGTON BLVD",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012972",
            "telephone_number": "307-746-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Ballancee Ave",
            "address_purpose": "LOCATION",
            "city": "Lusk",
            "state": "WY",
            "postal_code": "822255245",
            "country_code": "US",
            "telephone_number": "307-334-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "GORDON",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1382",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA1147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970016226",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01550250",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcastle, WY

Sources for this page

Verify at the official NPI Registry.