Marian W Stewart, D.O.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

101644 Issued in MO

Practice address

10994 Historic Highway 165 Ste D
Hollister, MO 65672-5606

Phone

(417) 239-0079

Fax

(417) 239-1228

NPI assigned

May 20, 2006

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBIDAD
• Direct secure messaging: marian.stewart@cernerdirect.coxhealth.com

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.

• Plastic Surgery & Weight Loss CNTR

  • Medical Specialty Clinic/Center
  • Hollister, MO
  • NPI 1699961193
  Medicare reassignment NPD Authorized official
• Theodosia Medical Center

  • Family Medicine Physician
  • Theodosia, MO
  • NPI 1679571590
  NPD (past) Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Women's Health & Medical Surgical Services

  dba Branson West Physicians Group

  • Family Medicine Physician
  • Branson West, MO
  • NPI 1801894720
  NPD (past)
• Carlos E Aguilar M D P a

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1982649042
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1518911676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8781",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658018781",
            "telephone_number": "417-339-5691",
            "fax_number": "417-339-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10994 HISTORIC HIGHWAY 165 STE D",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725606",
            "telephone_number": "417-239-0079",
            "fax_number": "417-239-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MARIAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "101644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431835078",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00204814",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244744504",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF KC",
            "identifier": "21186039",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith Management Services, LLC (Family Pharmacy #7)
• Caleb Smith
• Ashley Sorrell
• Sound Advice Hearing Doctors LLC
• Southtowne Urgent Care LLC
• Elizabeth N. Stobbe, M.D.
• R Randall Sukman, M.D.
• Taney County Ambulance District
• Lajan Kayle Taylor, MS, CCC-SLP
• The Center for Individual & Family Counseling, LLC

• Plastic and Reconstructive Surgery Physician in Hollister, MO
• Providers in Hollister, MO by specialty
• Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.

Verify at the official NPI Registry.