Organization Active NPI

Meadows Medical Center, LLC

  • Pediatric Medical Toxicology Physician
  • Kokomo, IN
National Provider Identifier
1710470265
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Medical Toxicology PhysicianTaxonomy code 2080T0002X
License
01060986 Issued in IN
Legal business name
MEADOWS MEDICAL CENTER, LLC
Practice address
700 E Firmin St Ste 195
Kokomo, IN 46902-2350
Phone
(765) 271-5913
NPI assigned
Jun 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Dr. Dana Stewart, MDNPI 1285615336
Title
Owner
Phone
(765) 271-5913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Medical Toxicology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080T0002X 01060986 IN Primary

Addresses

Primary practice location

700 E Firmin St Ste 195
Kokomo, IN 46902-2350

Mailing address

700 E Firmin St Ste 195
Kokomo, IN 46902-2350
Phone (765) 271-5913

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2151778Meadows Medical Center LLC700 E Firmin St Ste 195, Kokomo, IN 46902Certificate of waiverJul 26, 2026

National Provider Directory

National Provider Directory

Locations

700 E Firmin St
Ste 212
Kokomo, IN 46902

700 E Firmin St
Ste 195
Kokomo, IN 46902
Phone (765) 252-4575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1710470265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E FIRMIN ST STE 195",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022350",
            "telephone_number": "765-271-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E FIRMIN ST STE 195",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022350",
            "telephone_number": "765-271-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-271-5913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080T0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Medical Toxicology",
            "state": "IN",
            "license": "01060986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.