Individual provider Active NPI

John S Stewart, D.O.

  • Otolaryngology Physician
  • Huntsville, AL
National Provider Identifier
1447220926
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
DO.3936 Issued in AL
Practice address
3810 Governors Dr NW Unit 200
Huntsville, AL 35805-3586
Phone
(256) 530-0101
Fax
(256) 530-0105
NPI assigned
Jan 25, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 008415 AZ
Otolaryngology Physician 207Y00000X 18626 MS
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 18626 MS
Otolaryngology Physician 207Y00000X DO.3936 AL Primary

Addresses

Primary practice location

3810 Governors Dr NW Unit 200
Huntsville, AL 35805-3586

Mailing address

3810 Governors Dr NW Unit 200
Huntsville, AL 35805-3586
Phone (256) 530-0101

Other practice location 1

9377 E Bell Rd
Ste 207
Scottsdale, AZ 85260-1504
Phone (805) 210-5491

Other identifiers 2

IdentifierTypeStateIssuer
05909019MedicaidMS
287289OtherMSMEDICARE- OTHER UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313000085 AL Practitioner - Otolaryngology 1951389055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3810 Governors Dr SW
Unit 200
Huntsville, AL 35805-3586
Phone (256) 530-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO.3936ALMDOtolaryngology Physician
18626MSMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breathe Better Institute of Huntsville, LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Paparella Ear Head & Neck Institute PA Single Specialty Past Accepting new patients

Locations

3810 Governors Dr NW
Unit 200
Huntsville, AL 35805
Phone (256) 530-0101

Interoperability endpoints

  • Direct secure messaging: john_stewart_do@yourcarecommunity.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1447220926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 GOVERNORS DR NW UNIT 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053586",
            "telephone_number": "256-530-0101",
            "fax_number": "256-530-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 GOVERNORS DR NW UNIT 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053586",
            "telephone_number": "256-530-0101",
            "fax_number": "256-530-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9377 E BELL RD",
            "address_2": "STE 207",
            "address_purpose": "LOCATION",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601504",
            "country_code": "US",
            "telephone_number": "805-210-5491",
            "fax_number": "805-842-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "008415",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "18626",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MS",
            "license": "18626",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "DO.3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05909019",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- OTHER UNSPECIFIED",
            "identifier": "287289",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.