Dennis a Stewart MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME59782 Issued in FL

Legal business name

DENNIS A STEWART MD PA

Practice address

550 Redstone Ave W
Ste 320
Crestview, FL 32536-6428

Phone

(850) 689-3123

Fax

(850) 689-1633

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dennis A Stewart, MD

Title

Owner

Phone

(850) 689-3123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1508911843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W",
            "address_2": "STE 320",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366428",
            "telephone_number": "850-689-3123",
            "fax_number": "850-689-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 REDSTONE AVE W",
            "address_2": "STE 320",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325366428",
            "telephone_number": "850-689-3123",
            "fax_number": "850-689-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS A STEWART MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-689-3123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME59782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K6357",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Tristan Delaney, CPHT
• Dominique Deleon
• Valerie Lynn Dellocono, DPT
• Delta Health Group Inc
• Ivonne Delvalle
• Hal J. Densman, PHARMD
• Anne Denys, M.D.
• Patrice Dixon, MSW, RCSWI
• DMH Mental Health Consultation and Training LLC
• Brianna Marie Doehrmann, RBT

• Surgery Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.