William C. Stewart, Jr., M.D. PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MDO19833 Issued in TN

Legal business name

WILLIAM C. STEWART, JR., M.D. PLLC

Practice address

795 Ridge Lake Blvd
Suite 102
Memphis, TN 38120-9475

Phone

(901) 275-8280

Fax

(901) 275-8283

NPI assigned

Feb 22, 2008

Last updated

Aug 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William C. Stewart Jr., M.D.NPI 1124028949

Title

Physician

Phone

(901) 275-8280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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, and the practitioner matching its NPPES authorized official.

• William Clark Stewart Jr., M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1124028949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1417126541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "901-275-8280",
            "fax_number": "901-275-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "901-275-8280",
            "fax_number": "901-275-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. STEWART, JR., M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-275-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MDO19833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Willbanks
• Kayla Monae Willett, SPECIALIST
• Beatrice Willette, DPH
• Erin J Willhelm, PHARMD
• William C. Hurd, M.D., PC
• William L. Fulliton
• William M Adams Jr MD PC
• William N. Castle, DDS, PLLC
• William T. Weiss, PLLC
• William Todd Weiss M D

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.