Kendall L Stewart, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35046614 Issued in OH

Practice address

1835 Oakland Ave
Mob-B, Suite 101
Portsmouth, OH 45662-2913

Phone

(740) 354-8684

Fax

(740) 354-1168

NPI assigned

Nov 1, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: kendall.stewart@somc.medicity.net
• Direct secure messaging: stewartk@somc.gwaydirect.com

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 OAKLAND AVE",
            "address_2": "MOB-B, SUITE 101",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622913",
            "telephone_number": "740-354-8684",
            "fax_number": "740-354-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 OAKLAND AVE",
            "address_2": "MOB-B, SUITE 101",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622913",
            "telephone_number": "740-354-8684",
            "fax_number": "740-354-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KENDALL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35046614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0486433",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64217870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Stevens, LISW
• Bartholomew Micheal Stevens
• Meighan Noelle Stevens, ED.S
• Shelby Lynn Stevens
• Heather Stewart
• Morgan L Stewart, LPN
• Karen Stidham, LPN
• Kelsea Stidham
• Ted Justin Stidham, M.D.
• Chad Stiltner, CDCA.181056

• Psychiatry Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.