Larry Paul Stewart, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R6898 Issued in MO

Practice address

1408 N Kingshighway Blvd
Suite 110
Saint Louis, MO 63113-1400

Phone

(314) 361-8283

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• L Paul Stewart Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)
• Eye Associates, LTD.

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1477677573
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1750378675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROADVIEW FARM RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418501",
            "telephone_number": "314-576-4046",
            "fax_number": "314-576-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N KINGSHIGHWAY BLVD",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631131400",
            "telephone_number": "314-361-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "LARRY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201367703",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L",
            "last_name": "STEWART",
            "middle_name": "PAUL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordin Stewart
• Kali Stewart, MD
• Katy Michele Stewart, ANP
• Kendra Alain Stewart, LPC
• Keyeonta L Stewart
• Lynette Stewart, HYGENIST
• Mia Seantanette Stewart
• Rhonda Stewart
• Shannon Elyse Stewart, PA-C
• Shawn J Stewart, CRNA

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.