Dwight St Clair, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0524105 Issued in KS

Practice address

1148 South Hillside
Suite 104
Wichita, KS 67211-4005

Phone

(316) 687-0006

Fax

(316) 687-0328

NPI assigned

Jul 14, 2006

Last updated

Oct 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Psychiatry

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Dwight St Clair DO PA

  • Psychiatry Physician
  • Wichita, KS
  • NPI 1225396443
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1437175254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 SOUTH HILLSIDE",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 SOUTH HILLSIDE",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114005",
            "telephone_number": "316-687-0006",
            "fax_number": "316-687-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIR",
        "first_name": "DWIGHT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0524105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "260026318",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "047687",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232310B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Sprowls, RN
• Charles F Squire, DDS
• Caitlyn Srour
• Serge Srour, D.O.
• St Anthonys Senior Care Hospital, LLC
• Natalie Marie St Clair, PMHNP-BC
• Amy J St John-Foster, CRNA
• St Joseph MRI LLC (Anatomi Imaging)
• St Jude Medical
• Lexi St Martin

• Psychiatry Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.