Active NPI
Scott Lee Stewart, CRNA
- Certified Registered Nurse Anesthetist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 054077
- Practice address
- 1812 Discovery Loop
Panama City, FL 32405-2917 - Phone
- (423) 747-7779
- NPI assigned
- Jul 24, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 204727 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 054077 | TN | Primary |
Addresses
Primary practice location
1812 Discovery Loop
Panama City, FL 32405-2917
Mailing address
1812 Discovery Loop
Panama City, FL 32405-2917
Phone (423) 747-7779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052087 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104000859 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678590296 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Panhandle Anesthesia Associates LLC
Practice addresses (Care Compare)
204 B E 19TH St
Panama City, FL 32405-4707
Phone (850) 769-7599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204727 | NC | MD | Registered Nurse |
| 054077 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Panhandle Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cleveland Anesthesiologists Inc | Past | Accepting new patients |
Locations
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Panama City, FL
- NPI 1982241360
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1962483552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1760404248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 DISCOVERY LOOP",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052917",
"telephone_number": "423-747-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 DISCOVERY LOOP",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052917",
"telephone_number": "423-747-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "SCOTT",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "204727",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "054077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052087",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.