Stephen Wayne Kingsley, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

017395 Issued in CT

Practice address

57 North St
Suite 422
Danbury, CT 06810-5660

Phone

(203) 790-0777

Fax

(203) 797-9668

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1699794404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 422",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-790-0777",
            "fax_number": "203-797-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 422",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-790-0777",
            "fax_number": "203-797-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "017395",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "017395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eitan Kilchevsky, M.D.
• Christopher Kilkenny
• Patrick Edward Killeen, PA-C
• Yeahan Kim, MD
• Anna Adams Kimberly, DMD
• Abigail Tarleton Kirchem-Butts, BCBA
• Evelyn B. Kirner, R.P.T.
• Joshua Kishore, LCSW,MSW,BS
• Christopher S Kisker, D.C.
• Stuart A Kittay, M.D.

• Gastroenterology Physician in Danbury, CT
• Providers in Danbury, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.

Verify at the official NPI Registry.