Individual provider Active NPI

Garry Leroy Stewart, M.D.

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1841293537
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3431 Issued in AR
Practice address
1545 Hogan Lane
Conway, AR 72034-1349
Phone
(501) 513-1225
Fax
(501) 513-1228
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3431 AR Primary

Addresses

Primary practice location

1545 Hogan Lane
Conway, AR 72034-1349

Mailing address

P.O. Box 11349
Conway, AR 72034-1349
Phone (501) 513-1225

Other identifiers 1

IdentifierTypeStateIssuer
148117001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000083 AR Practitioner - Family PracticePractitioner - Emergency Medicine 7719977305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1545 Hogan LN
Conway, AR 72034-8511
Phone (504) 513-1225

1555 Exchange Ave
Conway, AR 72032-7824
Phone (501) 585-2000

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Garry Stewart MD PA Family Medicine CurrentSince Nov 23, 2009 Accepting new patients
St. Anthony'S Hospital Association Past Accepting new patients
National Healthcare of Newport Inc Past Accepting new patients
De Queen Medical Center Inc Past Accepting new patients
St. Anthony'S Hospital Association Past Accepting new patients
Petit Jean Emergency Physicians Past Accepting new patients

Locations

1545 Hogan Ln
Conway, AR 72034
Phone (501) 513-1225

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1841293537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11349",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720341349",
            "telephone_number": "501-513-1225",
            "fax_number": "501-513-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HOGAN LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720341349",
            "telephone_number": "501-513-1225",
            "fax_number": "501-513-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "GARRY",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148117001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.