Active NPI
Gayle M Stewart, M.D.
- Obstetrics Physician
- Salt Lake City, UT
National Provider Identifier
1255300331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 96-319240-1205
- Practice address
- 1060 E 100 S
Suite 400
Salt Lake City, UT 84102-1501 - Phone
- (801) 521-2640
- Fax
- (801) 363-6407
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 96-319240-1205 | UT | Primary |
Addresses
Primary practice location
1060 E 100 S
Suite 400
Salt Lake City, UT 84102-1501
Mailing address
1060 E 100 S
Suite 400
Salt Lake City, UT 84102-1501
Phone (801) 521-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-319240-1205 | UT | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Medical Group | Past | Accepting new patients | |
| Sunnyside Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1255300331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 E 100 S",
"address_2": "SUITE 400",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021501",
"telephone_number": "801-521-2640",
"fax_number": "801-363-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 E 100 S",
"address_2": "SUITE 400",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021501",
"telephone_number": "801-521-2640",
"fax_number": "801-363-6407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "GAYLE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "UT",
"license": "96-319240-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.