Organization Active NPI

Sherrill B Stewart,MDPC

Doing business as Sherrrill B Stewart MD

  • Plastic Surgery Physician
  • Corinth, MS
National Provider Identifier
1407029168
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
07460 Issued in MS
Legal business name
SHERRILL B STEWART,MDPC
Doing business as
Sherrrill B Stewart MD
Practice address
508 Alcorn Dr
Corinth, MS 38834-9392
Phone
(662) 286-3280
Fax
(662) 449-2566
NPI assigned
Apr 2, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Carol Lynn Cowan
Title
Office Manager
Phone
(662) 449-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 07460 MS Primary

Addresses

Primary practice location

508 Alcorn Dr
Corinth, MS 38834-9392

Mailing address

PO Box 1009
Hernando, MS 38632-5009
Phone (662) 449-2565

Other identifiers 1

IdentifierTypeStateIssuer
00011005MedicaidMS

Other names 1

  • SHERRRILL B STEWART MD Doing business as

National Provider Directory

National Provider Directory

Locations

508 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-3280

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1407029168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1009",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386325009",
            "telephone_number": "662-449-2565",
            "fax_number": "662-449-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349392",
            "telephone_number": "662-286-3280",
            "fax_number": "662-449-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRILL B STEWART,MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-449-2565",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "07460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00011005",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERRRILL B STEWART MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.