KEIKO STOBAEUS PA-C
NPI 1568935823
Physician Assistant - Medical in Augusta, GA
About Keiko Stobaeus Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIKO STOBAEUS PA-C (NPI 1568935823) is an individual medical provider in Augusta, Georgia and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keiko Stobaeus Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Keiko Stobaeus's NPI number?
The NPI number for Keiko Stobaeus is 1568935823. It was assigned to this individual provider in the NPPES registry on January 9, 2019.
Where is Keiko Stobaeus located?
Keiko Stobaeus practices at 1120 15th St Au Nephrology Ba-9413, Augusta, GA 30912. The listed phone number is (706) 721-2861.
What is Keiko Stobaeus's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Keiko Stobaeus enrolled in Medicare?
Yes. Keiko Stobaeus is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keiko Stobaeus was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Keiko Stobaeus, PA-C · NPI 1568935823
Medical physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1568935823 (Entity type: Individual)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 15TH ST, AU NEPHROLOGY BA-9413, Augusta, GA 30912
- **Phone:** (706) 721-2861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** January 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1568935823) · Data from the CMS NPPES public registry.