NPIMap

Individual provider Active NPI

Ann Marie Stuart, MD

  • Family Medicine Physician
  • Medina, OH
National Provider Identifier
1063497964
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-080891 Issued in OH
Practice address
4001 Carrick Dr
Suite 150
Medina, OH 44256-5387
Phone
(330) 721-8500
Fax
(330) 721-8510
NPI assigned
Dec 13, 2005
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-080891 OH Primary
General Practice Physician 208D00000X 35080891 OH

Addresses

Primary practice location

4001 Carrick Dr
Suite 150
Medina, OH 44256-5387

Mailing address

24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (330) 721-8500

Other identifiers 1

IdentifierTypeStateIssuer
2335413MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address annmariestuart@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040903000157 OH Practitioner - Family Practice 3577539303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4001 Carrick Dr
Suite 120
Medina, OH 44256-5385
Phone (216) 383-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-080891OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Mar 1, 2007 Accepting new patients
University Primary Care Practices Inc Family Medicine Past Accepting new patients
University Hospitals Regional Practices LLC Family Medicine Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

4001 Carrick Dr
Ste 120
Medina, OH 44256
Phone (330) 265-0772

Interoperability endpoints

  • Direct secure messaging: astuart21067@ehrdirect.uhhospitals.org

Organizations & group practices 7

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1063497964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR BILLING SERVICES",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "330-721-8500",
            "fax_number": "330-721-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CARRICK DR",
            "address_2": "SUITE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565387",
            "telephone_number": "330-721-8500",
            "fax_number": "330-721-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "ANN MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-080891",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35080891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335413",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "annmariestuart@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "annmariestuart@uhps.allscriptsdirect.net",
            "address_1": "4001 Carrick Dr",
            "address_2": "Suite 150",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.