Active NPI
Stewart Family Medicine
- Primary Care Clinic/Center
- Pittsburg, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 0437649
- Legal business name
- STEWART FAMILY MEDICINE
- Practice address
- 1003 W 4TH St
Pittsburg, KS 66762-4645 - Phone
- (620) 404-5220
- Fax
- (913) 815-8049
- NPI assigned
- May 10, 2016
- Last updated
- Jun 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Stewart, MD
- Title
- Manager
- Phone
- (913) 231-5766
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 0437649 | KS | Primary |
Addresses
Primary practice location
1003 W 4TH St
Pittsburg, KS 66762-4645
Mailing address
1003 W 4TH St
Pittsburg, KS 66762-4645
Phone (620) 404-5220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D2127743 | Stewart Family Medicine | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1003 W 4th St
Pittsburg, KS 66762
Phone (620) 231-1340
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Pittsburg, KS
- NPI 1699111088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467244800000",
"number": "1912353988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 W 4TH ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667624645",
"telephone_number": "620-404-5220",
"fax_number": "913-815-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W 4TH ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667624645",
"telephone_number": "620-404-5220",
"fax_number": "913-815-8049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-06-30",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "913-231-5766",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "KS",
"license": "0437649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.