Active NPI
Jeffrey David Stewart, M.D.
- Maternal & Fetal Medicine Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 35.138963
- Practice address
- 8423 Market St Ste 207
Boardman, OH 44512-6778 - Phone
- (330) 729-7901
- Fax
- (330) 729-7915
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 17135 | NH | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 60316121 | WA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | D0073846 | MD | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 213-320 | WI | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD21154 | ME | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 35.138963 | OH | Primary |
Addresses
Primary practice location
8423 Market St Ste 207
Boardman, OH 44512-6778
Mailing address
8423 Market St Ste 207
Boardman, OH 44512-6778
Phone (330) 729-7901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100821640B | Medicaid | OK | |
| 100710160A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18617 | NH | MD | Internal Medicine Physician |
| D0073846 | MD | MD | Maternal & Fetal Medicine Physician |
| 60316121 | WA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| Theda Clark OB Hospitalists SC | Past | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients | |
| Parkland Physician Services Inc | Past | Accepting new patients | |
| Parkland Physician Services, Inc. | Past | Accepting new patients | |
| Obl Associates, Inc | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
3403 Anderson Healthcare Dr
#B
Edwardsville, IL 62025
Phone (618) 288-5606
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
2133 Vadalabene Dr
Ste 6
Maryville, IL 62062
Phone (314) 738-2770
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1031 Bellevue Ave
Ste 200
Saint Louis, MO 63117
Phone (314) 644-4555
1173 Corporate Lake Dr
Saint Louis, MO 63132
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Specialist
- Tulsa, OK
- NPI 1881722387
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
-
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Derry, NH
- NPI 1740409556
-
- Endocrinology, Diabetes & Metabolism Physician
- Derry, NH
- NPI 1144388737
-
- Obstetrics & Gynecology Physician
- Neenah, WI
- NPI 1295510196
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": "1585094400000",
"number": "1649371972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8423 MARKET ST STE 207",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126778",
"telephone_number": "330-729-7901",
"fax_number": "330-729-7915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8423 MARKET ST STE 207",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126778",
"telephone_number": "330-729-7901",
"fax_number": "330-729-7915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NH",
"license": "17135",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "WA",
"license": "60316121",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MD",
"license": "D0073846",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "WI",
"license": "213-320",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "ME",
"license": "MD21154",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "35.138963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100821640B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100710160A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.