Gregory D. Stewart

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA0002153 Issued in WA

Legal business name

GREGORY D. STEWART

Practice address

747 Broadway
Seattle, WA 98122-4379

Phone

(206) 948-4671

Fax

(425) 513-9456

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Gregory D Stewart, PANPI 1295822740

Title

Co-Owner

Phone

(206) 948-4671

Specialties & licenses 1

Addresses

Other names 1

• Stewart Surgical Assistant Services Doing business as

Practitioners 1

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

• Gregory Douglas Stewart Sr., PA, RN, CNOR, CRNFA

  • Surgical Physician Assistant
  • Everett, WA
  • NPI 1295822740
  NPD (past) Authorized official

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1376042879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1542",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757742",
            "telephone_number": "206-948-4671",
            "fax_number": "425-513-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224379",
            "telephone_number": "206-948-4671",
            "fax_number": "425-513-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. STEWART",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "206-948-4671",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA0002153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stewart Surgical Assistant Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista D Gregg, CCC- SLP
• Kyle S Gregg
• Timberly Gregorious
• Tina M Gregorius, MA
• Gregory a Demopulos MD, PLLC
• Gregory David Rudolf
• Nancy Gregory-Hoefling, ARNP
• Heather Gregory-Opliger, MA
• Amanda Whitney Gregory, PT
• Catherine T Gregory

• Surgical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.