Active NPI
Charles Kerth Stewart, DVM
- Veterinarian
- Vero Beach, FL
National Provider Identifier
1740347343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 3591
- Practice address
- 890 Old Dixie Highway SW
Live Oak Animal Hospital
Vero Beach, FL 32962 - Phone
- (772) 770-4263
- Fax
- (772) 778-4571
- NPI assigned
- Jan 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 3591 | FL | Primary |
Addresses
Primary practice location
890 Old Dixie Highway SW
Live Oak Animal Hospital
Vero Beach, FL 32962
Mailing address
890 Old Dixie Highway SW
Vero Beach, FL 32962
Phone (772) 770-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3591 | FL | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740347343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 OLD DIXIE HIGHWAY SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32962",
"telephone_number": "772-770-4263",
"fax_number": "772-778-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 OLD DIXIE HIGHWAY SW",
"address_2": "LIVE OAK ANIMAL HOSPITAL",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32962",
"telephone_number": "772-770-4263",
"fax_number": "772-778-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "CHARLES",
"middle_name": "KERTH",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "FL",
"license": "3591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.