Stewart Charles Garneau, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036055117 Issued in IL

Practice address

4362 7TH St
Moline, IL 61265-6867

Phone

(309) 277-2900

Fax

(309) 277-0090

NPI assigned

Aug 30, 2005

Last updated

Oct 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• Stewart C Garneau MD SC

  • Hematology & Oncology Physician
  • Moline, IL
  • NPI 1699928127
  Authorized official Same address or phone

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1336132943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-277-2900",
            "fax_number": "309-277-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-277-2900",
            "fax_number": "309-277-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNEAU",
        "first_name": "STEWART",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036055117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "08108636",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932632",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROOS BLUE SHIELD OF IOWA",
            "identifier": "92618",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "364155168",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE",
            "identifier": "364155168",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "83004502",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "364155168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Ganzer
• Marisa Garcia, FNP
• Andrew Gardner, DC
• Tamara Gardner, PT
• Janis Lee Garlock, RPH
• Sara Kathleen Garner
• Jane Ann Garrett, OTR/L
• Lynn M Garvin-Huntley, PH.D
• Taffy A. Gaston, LPC
• Ruth Gbadeyan

• Hematology & Oncology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.