Garry Stewart MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3431 Issued in AR

Legal business name

GARRY STEWART MD PA

Practice address

1545 Hogan Lane
Conway, AR 72034-1349

Phone

(501) 513-1225

Fax

(501) 513-1228

NPI assigned

Apr 16, 2008

Organization subpart

Yes

Parent organization

GARRY STEWART MD PAAs reported in NPPES

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

Authorized official

Name

Dr. Garry Stewart, M.D.NPI 1841293537

Title

President

Phone

(501) 513-1225

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

Garry Stewart MD PA

Locations

Practitioners 2

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

• Garry Leroy Stewart, M.D.

  • Family Medicine Physician
  • Conway, AR
  • NPI 1841293537
  Medicare reassignment NPD Authorized official
• Jarrett Boyd Lea, M.D.

  • Family Medicine Physician
  • Bryant, AR
  • NPI 1467436725
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1457525933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11349",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720341349",
            "telephone_number": "501-513-1225",
            "fax_number": "501-513-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HOGAN LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720341349",
            "telephone_number": "501-513-1225",
            "fax_number": "501-513-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY STEWART MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARRY STEWART MD PA",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-513-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154599001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154599002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Garrett, LPC
• Jenney Rebecca Garrett, APRN
• Jessica L Garrett, MHPP
• Madeline Elizabeth Garrett
• Ronnie Garrett, CMP
• Gary Tumlison, DDS
• Kayla Gary
• Nicholas Garza
• Brandi Gaspard, PTA
• Jasmine Gaston-Jackson, APRN

• Family Medicine Physician in Conway, AR
• Providers in Conway, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.