Roger H Stewart MD PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0023885 Issued in FL

Legal business name

ROGER H STEWART MD PA

Doing business as

Dermatologic Laser & Surgery Center

Practice address

6550 N Federal Hwy Ste 320
Ft Lauderdale, FL 33308-1400

Phone

(954) 491-0510

Fax

(954) 491-0562

NPI assigned

Nov 1, 2006

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Kartikis Davis

Title

Billing Manager

Phone

(954) 908-7534

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DERMATOLOGIC LASER & SURGERY CENTER Doing business as

Electronic endpoints 7

Interoperability endpoints

• Direct secure messaging: nlajevardi@rogerhstewartmdpa.ezderm.info
• Direct secure messaging: rmandel@rogerhstewartmdpa.ezderm.info
• Direct secure messaging: sfien@rogerhstewartmdpa.ezderm.info

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1467539429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081400",
            "telephone_number": "954-491-0510",
            "fax_number": "954-491-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081400",
            "telephone_number": "954-491-0510",
            "fax_number": "954-491-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER H STEWART MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KARTIKIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-908-7534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0023885",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "SU14600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K0561",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfien@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mendreson@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barrygalitzer@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jperrotto@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmandel@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nlajevardi@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwhite@rogerhstewartmdpa.ezderm.info",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DERMATOLOGIC LASER & SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DERMATOLOGIC LASER & SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Telma N Rodriguez
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• Roger Verno D C PA (Cypress Creek Chiropractic Center)
• Asausha Rogers
• Brian Anthony Rogers, M.D.
• Jesse Rogers
• Krystal Rogers

• Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.