Active NPI
John Phillip Stewart
- Electroneurodiagnostic Specialist/Technologist
- Colorado Springs, CO
National Provider Identifier
1063893527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 13 S Tejon St Ste 501
Colorado Springs, CO 80903-1530 - Phone
- (866) 226-8576
- NPI assigned
- Jun 10, 2015
- Last updated
- Jun 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
13 S Tejon St Ste 501
Colorado Springs, CO 80903-1530
Mailing address
2205 Quail Ridge Rd
Jonesboro, AR 72404-7744
Phone (870) 219-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433894400000",
"number": "1063893527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 QUAIL RIDGE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724047744",
"telephone_number": "870-219-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 S TEJON ST STE 501",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809031530",
"telephone_number": "866-226-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-10",
"last_updated": "2015-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.