Active NPI
James Benton Stewart Jr., M.D.
- MOHS-Micrographic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1457360646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 17525
- Practice address
- 3705 W Memorial Rd
Suite 101
Oklahoma City, OK 73134-1512 - Phone
- (405) 751-0020
- Fax
- (405) 751-0009
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 17525 | OK | |
| Dermatology Physician | 207N00000X | 17525 | OK | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 17525 | OK | Primary |
Addresses
Primary practice location
3705 W Memorial Rd
Suite 101
Oklahoma City, OK 73134-1512
Mailing address
3705 W Memorial Rd
Suite 101
Oklahoma City, OK 73134-1512
Phone (405) 751-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Oklahoma College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 24 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absentee Shawnee Tribal Health Authority, Inc. | Current | Accepting new patients | |
| Absentee Shawnee Tribal Health Authority, Inc. | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300
2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702
Interoperability endpoints
- drstewart@jbsmohs.ssdirect.aprima.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Shawnee, OK
- NPI 1942253521
-
- Multi-Specialty Clinic/Center
- Norman, OK
- NPI 1124152962
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1457360646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 W MEMORIAL RD",
"address_2": "SUITE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341512",
"telephone_number": "405-751-0020",
"fax_number": "405-751-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 W MEMORIAL RD",
"address_2": "SUITE 101",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341512",
"telephone_number": "405-751-0020",
"fax_number": "405-751-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JAMES",
"middle_name": "BENTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "OK",
"license": "17525",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "17525",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OK",
"license": "17525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.