Active NPI
Ralph W Stewart, M.D.
- Ophthalmology Physician
- Vincennes, IN
National Provider Identifier
1811983026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01022355
- Practice address
- 501 S 6TH St
Vincennes, IN 47591-1024 - Phone
- (812) 882-0555
- Fax
- (812) 882-0720
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01022355 | IN | Primary |
Addresses
Primary practice location
501 S 6TH St
Vincennes, IN 47591-1024
Mailing address
501 S 6TH St
Vincennes, IN 47591-1024
Phone (812) 882-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100154250A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01022355 | IN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1811983026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S 6TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911024",
"telephone_number": "812-882-0555",
"fax_number": "812-882-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S 6TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911024",
"telephone_number": "812-882-0555",
"fax_number": "812-882-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RALPH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01022355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100154250A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.