Organization Active NPI

Earl S. Stewart, M.D., P.a.

  • Vascular Surgery Physician
  • Ocala, FL
National Provider Identifier
1356510390
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME11854 Issued in FL
Legal business name
EARL S. STEWART, M.D., P.A.
Practice address
4600 SW 46TH CT Ste 330
Ocala, FL 34474-5755
Phone
(352) 237-3232
Fax
(352) 237-0167
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Pam Ray
Title
Manager
Phone
(352) 237-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME11854 FL Primary

Addresses

Primary practice location

4600 SW 46TH CT Ste 330
Ocala, FL 34474-5755

Mailing address

4600 SW 46TH CT Ste 330
Ocala, FL 34474-5755
Phone (352) 237-3232

Other identifiers 1

IdentifierTypeStateIssuer
91454OtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Locations

4600 SW 46th Ct
Ste 330
Ocala, FL 34474
Phone (352) 237-3232

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1356510390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 330",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745755",
            "telephone_number": "352-237-3232",
            "fax_number": "352-237-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 330",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745755",
            "telephone_number": "352-237-3232",
            "fax_number": "352-237-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL S. STEWART, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-237-3232"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME11854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "91454",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.