Stewart Surgical PA, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

STEWART SURGICAL PA, PLLC

Practice address

4822 E Annette Dr
Scottsdale, AZ 85254-7590

Phone

(760) 638-0890

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Stewart, PANPI 1215480637

Title

Owner

Phone

(760) 638-0890

Specialties & licenses 2

Addresses

Practitioners 1

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

• Katherine M. Stewart, PA-C

  • Physician Assistant
  • Escondido, CA
  • NPI 1215480637

  Medical

  NPD Authorized official

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1437753134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 E ANNETTE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547590",
            "telephone_number": "760-638-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 E ANNETTE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547590",
            "telephone_number": "760-638-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART SURGICAL PA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-638-0890",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sid S Stevens, DDS
• Rileigh Renee Stevenson-Graves
• Bryttani Stevenson, PHARMD
• Katherine Stevenson, PA-C
• Shawnee Stevenson, LPN
• Alexander K Stewart, M.D.
• Brough Hamilton Stewart, LPC
• Chelsea Nicole Stewart, FNP-C
• Destiny Stewart
• Laura Ann Stewart, PSYD

• Surgical Physician Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.