Susan Ailsworth Stuart, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1435 Issued in SD

Practice address

10255 N 32ND St
Phoenix, AZ 85028-3851

Phone

(602) 258-7003

Fax

(602) 254-3474

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1699885897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283851",
            "telephone_number": "602-258-7003",
            "fax_number": "602-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "SUSAN",
        "middle_name": "AILSWORTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SD",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415514",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin A Struble, MD
• Robert K Strumpf, MD
• Courtney Strzelczyk
• Eliana Rose Stuart
• Jeffrey Roger Stuart, MD
• Wendy D Stuart, COTA
• Genevieve M Stubbs, PA-C
• Lindsey Danae Stubbs, ACNP
• Aaron Briggs Stuber, MD
• Sara Stuckenschneider, OTR

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.