Jordan R. Stewart, DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01433 Issued in MD

Legal business name

JORDAN R. STEWART, DPM, LLC

Practice address

9622 Deereco Road
Timonium, MD 21093

Phone

(410) 560-2777

NPI assigned

Jul 13, 2006

Organization subpart

No

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Richard Stewart, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Timonium, MD
  • NPI 1689624033

  Foot & Ankle Surgery, MD

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

Enrollment records 2

Locations

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

Authorized official

Name

Dr. Jordan Richard Stewart, D.P.M.NPI 1689624033

Title

Podiatrist/Owner

Phone

(410) 560-2777

Specialties & licenses 1

Addresses

Other names 1

• Timonium Foot and Ankle Center Doing business as

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093731366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9622 DEERECO ROAD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-560-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9622 DEERECO ROAD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-560-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN R. STEWART, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "410-560-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timonium Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elise Michele Jones, CCC-SLP
• Kerrianne Jones, PT
• Madison Jones
• Natalia B Jones, P.T.
• Rick Allen Jones, DMD
• Joseph D'Antonio Jr., M.D., PHD, P.a.
• Catherine Ann Junkin, SLP
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

• All providers in Timonium, MD
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.