Michael Austin Stewart, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7056 Issued in MT

Practice address

3205 S Russell St
Missoula, MT 59801-8536

Phone

(406) 721-4906

NPI assigned

Jun 28, 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 1

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

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225066459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 COMSTOCK CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598089059",
            "telephone_number": "406-544-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018536",
            "telephone_number": "406-721-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHAEL",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "7056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094146",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn D. Stewart Prinzing, OTL
• Bonnie J. Stewart, LAC, ICADC, CADCIII
• Kevin Philip Stewart, LAC
• Lynn Stewart, L.P.C
• Mark Lindsey Stewart, M.D.
• Nannie Stewart, MSW, SWLC
• Joshua James Sticka, M.D.
• Mackenzie Ali Stiff, LCSW
• Taylor Lynn Stille, ARNP
• Stillpoint LLC

• Diagnostic Radiology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Diagnostic Radiology Physician in Montana

• 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.