Active NPI
Pamela E Stewart, MD
- Family Medicine Physician
- Garden City, KS
National Provider Identifier
1255397253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-28817
- Practice address
- 712 Saint John St
Garden City, KS 67846-5128 - Phone
- (620) 275-1766
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-28817 | KS | Primary |
Addresses
Primary practice location
712 Saint John St
Garden City, KS 67846-5128
Mailing address
712 Saint John St
Garden City, KS 67846-5128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088530B | Medicaid | KS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-28817 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Plaza Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients |
Locations
911 N Main St
Garden City, KS 67846
Phone (316) 276-8201
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Interoperability endpoints
- https://api.platform.athenahealth.com/17070/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Family Medicine Physician
- Garden City, KS
- NPI 1437115029
-
- Clinic/Center
- Supai, AZ
- NPI 1184901829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1255397253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SAINT JOHN ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SAINT JOHN ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465128",
"telephone_number": "620-275-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "PAMELA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-28817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088530B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.