Individual provider Active NPI

William Andrew Stewart, MD

  • Plastic Surgery Physician
  • Charleston, WV
National Provider Identifier
1447257035
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
15926 Issued in WV
Practice address
210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone
(304) 388-1930
Fax
(304) 388-1929
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 15926 WV Primary

Addresses

Primary practice location

210 Brooks St Ste 200
Charleston, WV 25301-1848

Mailing address

210 Brooks St Ste 200
Charleston, WV 25301-1848
Phone (304) 388-1930

Other identifiers 2

IdentifierTypeStateIssuer
0114121000MedicaidWV
550760903OtherWVFEIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120402000190 WV Practitioner - Plastic and Reconstructive Surgery 6800056649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
West Virginia University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision49
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc CurrentSince Nov 20, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Dec 1, 2019 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Dec 1, 2019 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

210 Brooks St
Ste 200
Charleston, WV 25301
Phone (304) 388-1930

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

333 Laidley St
Fl 2W
Charleston, WV 25301
Phone (304) 347-6116

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1447257035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROOKS ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011848",
            "telephone_number": "304-388-1930",
            "fax_number": "304-388-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "WV",
            "license": "15926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114121000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "550760903",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.