Individual provider Active NPI

Geoffrey Stewart, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Davenport, FL
National Provider Identifier
1528026812
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME71059 Issued in FL
Practice address
104 Park Place Blvd Ste a
Davenport, FL 33837-6866
Phone
(407) 849-1200
Fax
(407) 841-7539
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME71059 FL Primary

Addresses

Primary practice location

104 Park Place Blvd Ste a
Davenport, FL 33837-6866

Mailing address

104 Park Place Blvd Ste a
Davenport, FL 33837-6866
Phone (407) 849-1200

Other identifiers 1

IdentifierTypeStateIssuer
250065500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100804001231 FL Practitioner - Orthopedic Surgery 4880727205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine and Scoliosis Center PAGroup PAC ID 9436112505, 2 clinicians

Practice addresses (Care Compare)

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (407) 849-1200

3791 S US Hwy 27
Clermont, FL 34711-1915
Phone (407) 849-1200

40100 Hwy 27
Davenport, FL 33837-5906
Phone (863) 419-1277

Hospital & facility affiliations

  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion744
Laminectomy or laminotomy (partial removal of spine bones)322

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Scoliosis Center, P.a. Orthopaedic Surgery of the Spine CurrentSince Sep 1, 1996 Accepting new patients

Locations

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

104 Park Place Blvd
Ste A
Davenport, FL 33837
Phone (407) 841-1200

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

Interoperability endpoints

  • Direct secure messaging: geoffrey.stewart@462.chartlogic.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1528026812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "407-849-1200",
            "fax_number": "407-841-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK PLACE BLVD STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376866",
            "telephone_number": "407-849-1200",
            "fax_number": "407-841-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GEOFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME71059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250065500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.