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Active NPI 1568406064 Individual Practitioner Male Practitioner

Rex Stombaugh , PA

Physician Assistant • Centralia, IL

Professional Overview & Biography Verified Profile Summary

Rex Stombaugh, PA is a registered healthcare professional specializing in Physician Assistant in Centralia, IL. Practice services are available at 1441 W BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1441 W Broadway

Centralia, IL 628015613

Telephone 6185329050
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centralia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Centralia, IL (4958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rr Group Number
CE9335 (IL)
Commercial Insurance / Payer ID Rr Medicare Number
P00345215 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Maria Riaz , MD

Internal Medicine

NPI 1245751940

Doctor of Medicine (M.D.)

Dr. Usha Sadanala , MD

Family Medicine

NPI 1326308248

Doctor of Medicine (M.D.)

Karen Hummel , PA-C

Physician Assistant

NPI 1356392245

Physician Assistant (Certified)

Kendra Bowen , PA-C

Physician Assistant

NPI 1457318438

Physician Assistant (Certified)

Tracie Foster

Nurse Practitioner

NPI 1508258476
Ruth Rakey , APN

Nurse Practitioner - Women's Health

NPI 1669425526

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 1441 W BROADWAY, CENTRALIA, IL 628015613 (Tel: 6185329050)

📍
Updated Business Mailing Address November 27, 2007

Registered at 1441 W BROADWAY, CENTRALIA, IL 628015613 (Tel: 6185329050)

👤
Provider Name / Credentials Updated November 27, 2007

Recorded as REX STOMBAUGH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568406064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: November 27, 2007
Sole Proprietor: No

Mailing Address

1441 W Broadway

Centralia, IL 628015613

Phone: 6185329050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.