Organization Active NPI

Stewart Surgical Associates

  • Surgical Assistant
  • Grand Junction, CO
National Provider Identifier
1427584069
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
171979 Issued in CO
Legal business name
STEWART SURGICAL ASSOCIATES
Practice address
3099 Cedar Dr
Grand Junction, CO 81504-5623
Phone
(970) 986-7887
Fax
(951) 587-8277
NPI assigned
May 2, 2017
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Jared Odell Stewart, CST/CSFANPI 1952836017
Title
Owner
Phone
(970) 986-7887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 171979 CO Primary

Addresses

Primary practice location

3099 Cedar Dr
Grand Junction, CO 81504-5623

Mailing address

3099 Cedar Dr
Grand Junction, CO 81504-5623
Phone (970) 986-7887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1427584069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 CEDAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045623",
            "telephone_number": "970-986-7887",
            "fax_number": "951-587-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 CEDAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045623",
            "telephone_number": "970-986-7887",
            "fax_number": "951-587-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ODELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-986-7887",
        "authorized_official_credential": "CST/CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "171979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.