Dennis A Stewart, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME59782 Issued in FL

Practice address

369 N Main St
Crestview, FL 32536-3541

Phone

(850) 689-3123

Fax

(850) 689-1633

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crestview Hospital Company LLC

  • Hospitalist Physician
  • Crestview, FL
  • NPI 1861441057
  Medicare reassignment NPD
• Crestview Hospital Company, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Crestview, FL
  • NPI 1457864357
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1053467001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363541",
            "telephone_number": "850-689-3123",
            "fax_number": "850-689-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 N MAIN ST",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363541",
            "telephone_number": "850-689-3123",
            "fax_number": "850-689-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DENNIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME59782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508911843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "K6357",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053717900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Steinke, PHARMD
• Clinton Stephens, PHARMD.
• Sterling Emergency Services of Florida, PA
• Michael Zale Stern
• Jolie Susanna Steverson, APRN
• Tamara Stirling
• Brian Alexander Stone, APRN
• Streeter Vision PA
• Thomas Allen Streeter, OD
• Stricker Mays MD, PA

• Surgery Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.