Active NPI
John D Stewart, MD
- Orthopaedic Surgery Physician
- Tacoma, WA
National Provider Identifier
1831165968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD00020309
- Practice address
- 2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322 - Phone
- (253) 756-0888
- Fax
- (253) 752-1704
- NPI assigned
- Feb 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00020309 | WA | Primary |
Addresses
Primary practice location
2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322
Mailing address
2420 S Union Ave
Ste 300
Tacoma, WA 98405-1322
Phone (253) 756-0723
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1080142 | Medicaid | WA | |
| 0256311 | Other | WA | STATE L&I |
| 0256776 | Other | WA | STATE L&I |
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 |
|---|---|---|---|
| MD00020309 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tacoma Orthopaedic Surgeons Inc | 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.
-
- Radiologic Technologist
- Tacoma, WA
- NPI 1417924655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1831165968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051322",
"telephone_number": "253-756-0723",
"fax_number": "253-752-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 S UNION AVE",
"address_2": "STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051322",
"telephone_number": "253-756-0888",
"fax_number": "253-752-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD00020309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1080142",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0256311",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0256776",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.