Stewart Clinic, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

76346 Issued in NC

Legal business name

STEWART CLINIC, PA

Practice address

114 Broadfoot Ave
Fayetteville, NC 28305-5002

Phone

(910) 484-1156

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Dubose Stewart Sr., M.D.NPI 1922093228

Title

President

Phone

(910) 484-1156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David D Stewart, M.D.

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1922093228
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1275865529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055002",
            "telephone_number": "910-484-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BROADFOOT AVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055002",
            "telephone_number": "910-484-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUBOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-484-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "76346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Bryan Stevens, PHARMD
• Aubrey Stevens, DO
• Marcus F Stevens, RBT
• Jessica M Steventon
• Steward Group of Love Residential Facility
• Stewart Pharmaceuticals Inc (Stewart Compounding Pharmacy)
• Aliesha Stewart
• Angela Williams Stewart
• Charles Schaffer Stewart, DO
• David D Stewart, M.D.

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.