Jay Pediatrics PA
Organization Active NPI Pediatrics Physician · Jay, FL
NPI 1710246483 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1710246483
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME68044 (FL)
- Legal business name
- JAY PEDIATRICS PA
- Practice address
- 14088 Alabama St
Jay, FL 32565-1036 - Phone
- (850) 675-4546
- Fax
- (850) 675-4548
- NPI assigned
- May 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Marian B Stewart, MD
- Title
- Owner/President
- Phone
- (850) 675-4546
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | ME68044 | FL | Yes |
Addresses
Primary practice location
14088 Alabama St
Jay, FL 32565-1036
Mailing address
PO Box 10
Jay, FL 32565-0010
Phone (850) 675-4546
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264891884 | Other | TRICARE | |
| 32119 | Other | BLUE CROSS AND BLUE SHIELD OF FLORIDA | |
| 59176907 | Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | |
| 1206338 | Other | UNITED HEALTHCARE | |
| 1202673 | Other | COVENTRY | |
| 264891884 | Other | HUMANA | |
| 264891884 | Other | CHAMPVA | |
| 251076600 | Medicaid | FL | |
| 4878883 | Other | CIGNA | |
| 5173714 | Other | AETNA | |
| 009905570 | Other | AL | ALACAID |
Other names
- Marian B Stewart MD
Other providers in Jay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.