Individual provider Active NPI

David W. Stewart, M.D.

  • Urology Physician
  • Gahanna, OH
National Provider Identifier
1720029903
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35048924S Issued in OH
Practice address
701 Tech Center Dr
Gahanna, OH 43230-1987
Phone
(614) 396-2684
Fax
(614) 396-2480
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35048924S OH Primary

Addresses

Primary practice location

701 Tech Center Dr
Gahanna, OH 43230-1987

Mailing address

701 Tech Center Dr Ste 250
Gahanna, OH 43230-1987
Phone (614) 944-4800

Other practice location 1

701 Tech Center Dr Ste 100
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 2

701 Tech Center Dr Ste 200
Gahanna, OH 43230-1987
Phone (614) 396-2684

Other practice location 3

350 W Wilson Bridge Rd
Worthington, OH 43085-2217
Phone (614) 796-2900

Other practice location 4

5775 N Meadows Dr Ste C
Grove City, OH 43123-7300
Phone (614) 396-2684

Other identifiers 2

IdentifierTypeStateIssuer
0347838OtherOHRAILROAD MEDICARE
0656384MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040305000661 OH Practitioner - Urology 9537057112 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35048924SOHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Urology Group, LLC Urology CurrentSince Sep 1, 2006 Accepting new patients
Central Ohio Urology Group, LLC Urology CurrentSince Sep 1, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Central Ohio Urology Surgery Center, LLC Past Accepting new patients

Locations

750 Mount Carmel Mall
Ste 350
Columbus, OH 43222
Phone (614) 221-5189

8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189

701 Tech Center Dr
Ste 250
Gahanna, OH 43230

701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806

701 Tech Center Dr
Ste 200
Gahanna, OH 43230
Phone (614) 396-2670

701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498

5775 N Meadows Dr
Ste C
Grove City, OH 43123
Phone (614) 221-9262

350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1720029903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR STE 250",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-944-4800",
            "fax_number": "614-944-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TECH CENTER DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301987",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Tech Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Tech Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301987",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Wilson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430852217",
            "country_code": "US",
            "telephone_number": "614-796-2900",
            "fax_number": "614-796-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5775 N Meadows Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431237300",
            "country_code": "US",
            "telephone_number": "614-396-2684",
            "fax_number": "614-396-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35048924S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0347838",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656384",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.