Mark C Stewart, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MS043841 Issued in MI

Practice address

4 Columbus Ave Ste 360
Bay City, MI 48708-6476

Phone

(989) 894-1111

Fax

(989) 894-2994

NPI assigned

Mar 17, 2006

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

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 2

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Wayne State University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• First State Home Health Care, Inc Home health agency, Saginaw, MI, CCN 239114
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stewart.mark.001.0220055@sto.meditab.direct-ci.com

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.

• Bay City Physical Therapy Institute

  • Physical Therapist
  • Bay City, MI
  • NPI 1225105307
  NPD (past) Authorized official
• Bay City Physical Therapy Institute

  • Specialist
  • Bay City, MI
  • NPI 1811078181
  Authorized official Same address or phone

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

• First State Home Health Care Inc

  • Home Health Agency
  • Saginaw, MI
  • NPI 1366676082
  Care Compare affiliation
• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1205805579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 360",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086476",
            "telephone_number": "989-894-1111",
            "fax_number": "989-894-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COLUMBUS AVE STE 360",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086476",
            "telephone_number": "989-894-1111",
            "fax_number": "989-894-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "MS043841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173591110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Stevens
• Zachary Stevens
• Fritzi Ann Stevenson, OTRL
• Stephanie Sue Stevenson
• Madison Stewart
• Roxann Stewart
• Laikyn Stickler
• Laura Irene Stillman, CRNA
• Brittany M Stilson, M.S., CCC-SLP
• Robert Allen Stockton, CRNA

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.