REX STOMBAUGH PA
NPI 1568406064
Physician Assistant in Centralia, IL

Active since June 15, 2006
1441 W BROADWAY, CENTRALIA, IL 62801(618) 532-9050 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rex Stombaugh Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REX STOMBAUGH PA (NPI 1568406064) is an individual physician assistant in Centralia, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1568406064
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameREX STOMBAUGHCredential: PA
Location Address1441 W BROADWAYCentralia, IL 62801-5613
Mailing Address1441 W BroadwayCentralia, IL 62801-5613 · (618) 532-9050
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 27, 2007
NPI 1568406064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
1441 W BROADWAY, Centralia, IL 62801

Other Identifiers 3

OtherCE9335IL · Rr Group Number
Medicare PINK31173IL
OtherP00345215IL · Rr Medicare Number

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1441 W BROADWAY
CENTRALIA, IL 62801
Family Medicine
1441 W BROADWAY
CENTRALIA, IL 62801
Physical Medicine & Rehabilitation
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner (Women's Health)
1441 W BROADWAY
CENTRALIA, IL 62801
Clinic/Center (Rural Health)
1441 W BROADWAY
CENTRALIA, IL 62801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rex Stombaugh's NPI number?

The NPI number for Rex Stombaugh is 1568406064. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Rex Stombaugh located?

Rex Stombaugh practices at 1441 W Broadway, Centralia, IL 62801. The listed phone number is (618) 532-9050.

What is Rex Stombaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Rex Stombaugh was last updated on November 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.