NPIMap

Individual provider Active NPI

Stuart Morris Squires, MD

  • Anesthesiology Physician
  • Fayetteville, NC
National Provider Identifier
1497856843
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 323-8594
Fax
(910) 323-5795
NPI assigned
Sep 26, 2006
Last updated
Oct 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NC

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

PO Box 53844
Fayetteville, NC 28305-3844
Phone (910) 323-8594

Other identifiers 4

IdentifierTypeStateIssuer
126M2OtherNCSTATE HEALTH PLAN
50075295OtherNCRAILROAD MEDICARE
126M2OtherNCBLUE CROSS BLUE SHIELD
89126M2MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000217 NC Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 5597747451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Emory University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Robeson St
Fayetteville, NC 28301-5570
Phone (910) 615-1000

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000

4420 Lake Boone TRL
Raleigh, NC 27607-7505
Phone (919) 784-3034

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000628NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology Current Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
North Carolina Anesthesia Partners, PLLC Anesthesiology Past Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1497856843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53844",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053844",
            "telephone_number": "910-323-8594",
            "fax_number": "910-323-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-323-8594",
            "fax_number": "910-323-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "STUART",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HEALTH PLAN",
            "identifier": "126M2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "50075295",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "126M2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126M2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.