Individual provider Active NPI

Stewart Haven Barlow

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1891182093
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13398755-1205 Issued in UT
Practice address
1140 E 3900 S Ste 400
Salt Lake City, UT 84124-1269
Phone
(801) 268-6811
Fax
(801) 268-8673
NPI assigned
Apr 25, 2015
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X A163354 CA
Obstetrics & Gynecology Physician 207V00000X 13398755-1205 UT Primary

Addresses

Primary practice location

1140 E 3900 S Ste 400
Salt Lake City, UT 84124-1269

Mailing address

PO Box 198546
Atlanta, GA 30384-8546

Other practice location 1

940 Signal Hl
Fruit Heights, UT 84037-4404
Phone (801) 544-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190926000501 CA Practitioner - Obstetrics/Gynecology 5799025698 Reassigns benefits to 1 organization
I20230808003034 UT Practitioner - Obstetrics/Gynecology 5799025698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Mark's Gynecology Oncology Care LLCGroup PAC ID 4486736279, 17 clinicians

Practice addresses (Care Compare)

1140 E 3900
Suite 400
Salt Lake City, UT 84124-1269
Phone (801) 268-6811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13398755-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mark's Gynecology Oncology Care LLC Single Specialty CurrentSince Aug 13, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Single Specialty CurrentSince Sep 16, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2019 Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1140 E 3900 S
Ste 400
Salt Lake Cty, UT 84124
Phone (801) 268-6811

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1429920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1891182093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198546",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E 3900 S STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241269",
            "telephone_number": "801-268-6811",
            "fax_number": "801-268-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Signal Hl",
            "address_purpose": "LOCATION",
            "city": "Fruit Heights",
            "state": "UT",
            "postal_code": "840374404",
            "country_code": "US",
            "telephone_number": "801-544-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "STEWART",
        "middle_name": "HAVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-25",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A163354",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "13398755-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.