Individual provider Active NPI

Mary L Stewart, MD

  • Hematology & Oncology Physician
  • Anchorage, AK
National Provider Identifier
1245268002
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
AA2101 Issued in AK
Practice address
2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2983
Phone
(907) 279-3155
Fax
(907) 279-3154
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X AA2101 AK Primary

Addresses

Primary practice location

2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2983

Mailing address

2925 Debarr Rd
Suite 300
Anchorage, AK 99508-2983
Phone (907) 279-3155

Other identifiers 2

IdentifierTypeStateIssuer
110048172OtherRR MEDICARE
MD21011MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AOH@directaddress.net Alaska Oncology and Hematology LLC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AA2101AKMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Oncology and Hematology LLC Hematology & Oncology CurrentSince May 1, 2001 Accepting new patients

Locations

2925 Debarr Rd
Ste 300
Anchorage, AK 99508
Phone (907) 279-3155

Interoperability endpoints

  • Direct secure messaging: aoh@directaddress.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1245268002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD",
            "address_2": "SUITE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082983",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 DEBARR RD",
            "address_2": "SUITE 300",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082983",
            "telephone_number": "907-279-3155",
            "fax_number": "907-279-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AK",
            "license": "AA2101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110048172",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD21011",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AOH@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Alaska Oncology and Hematology LLC",
            "address_1": "2925 DeBarr Road",
            "address_2": "Suite 300",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "99508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.