Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Stephen Michael Newberry, PA-C

Individual provider Athletic Trainer · NPI 1871012112

Mr. Stephen Michael Newberry, PA-C is a Physician Assistant in Columbia, Missouri. Qualified in 2023, 3 years ago. Practices with Columbia Orthopaedic Group LLP, a 94-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
3
Licensed in
KS, MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 S Keene St
Columbia, MO 65201-7199
Phone: (816) 835-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024006431 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 24-01245 (KS)
Athletic Trainer Taxonomy 2255A2300X · Licence 2017032699 (MO)

Record details

NPI number1871012112
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Columbia Orthopaedic Group Llp — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia