Active NPI
Douglas Russell Stewart, MD
- Clinical Molecular Genetics Physician
- South San Francisco, CA
National Provider Identifier
1740748573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Molecular Genetics Physician
- License
- MD073490L
- Practice address
- 701 Gateway Blvd Ste 380
South San Francisco, CA 94080-7420 - Phone
- (877) 688-0992
- NPI assigned
- Mar 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Molecular Genetics Physician | 207SG0203X | MD073490L | PA | Primary |
| Internal Medicine Physician | 207R00000X | MD073490L | PA |
Addresses
Primary practice location
701 Gateway Blvd Ste 380
South San Francisco, CA 94080-7420
Mailing address
7057 Wolftree LN
Rockville, MD 20852-4354
Phone (301) 984-7772
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD073490L | PA | MD | Clinical Molecular Genetics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genome Medical Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Genetic Counselor (M.S.)
- South San Francisco, CA
- NPI 1407389695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1740748573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7057 WOLFTREE LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524354",
"telephone_number": "301-984-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 GATEWAY BLVD STE 380",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940807420",
"telephone_number": "877-688-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "DOUGLAS",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0203X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Molecular Genetics",
"state": "PA",
"license": "MD073490L",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD073490L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.