Individual provider Active NPI

Glenn Rutledge Stewart, M.D.

  • Therapeutic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1649320052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
2459 Issued in AK
Practice address
607 W Bayou Pkwy
Lafayette, LA 70503-3605
Phone
(337) 501-6466
Fax
(928) 396-6431
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 2459 AK Primary

Addresses

Primary practice location

607 W Bayou Pkwy
Lafayette, LA 70503-3605

Mailing address

607 W Bayou Pkwy
Lafayette, LA 70503-3605
Phone (337) 501-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2459AKMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Radiation Therapy Center PastSince Jun 13, 2023 Accepting new patients
Arom, Inc PastSince Jan 7, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649320052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W BAYOU PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033605",
            "telephone_number": "337-501-6466",
            "fax_number": "928-396-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W BAYOU PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033605",
            "telephone_number": "337-501-6466",
            "fax_number": "928-396-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GLENN",
        "middle_name": "RUTLEDGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "AK",
            "license": "2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.