Individual provider Active NPI

Jeffrey David Stewart, M.D.

  • Maternal & Fetal Medicine Physician
  • Boardman, OH
National Provider Identifier
1649371972
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35.138963 Issued in OH
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

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100821640BMedicaidOK
100710160AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230919001535 MO Practitioner - Obstetrics/Gynecology 3476598368 Reassigns benefits to 2 organizations
I20250304002838 IL Practitioner - Obstetrics/Gynecology 3476598368 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18617NHMDInternal Medicine Physician
D0073846MDMDMaternal & Fetal Medicine Physician
60316121WAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis CurrentSince Aug 12, 2023 Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Dec 28, 2024 Accepting new patients
SSM Health Care Group CurrentSince Nov 1, 2023 Accepting new patients
SSM Health Care St Louis CurrentSince Aug 12, 2023 Accepting new patients
SSM Health Care Group CurrentSince Nov 1, 2023 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Dec 28, 2024 Accepting new patients
Theda Clark OB Hospitalists SC PastSince Sep 5, 2023 Accepting new patients
Mount Desert Island Hospital PastSince May 16, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.