Jared Stewart

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

171979 Issued in CO

Practice address

3099 Cedar Dr
Grand Junction, CO 81504-5623

Phone

(970) 986-7887

Fax

(951) 587-8277

NPI assigned

Apr 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stewart Surgical Associates

  • Surgical Assistant
  • Grand Junction, CO
  • NPI 1427584069
  NPD Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1952836017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 CEDAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045623",
            "telephone_number": "970-986-7887",
            "fax_number": "951-587-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 CEDAR DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045623",
            "telephone_number": "970-986-7887",
            "fax_number": "951-587-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "171979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven L Peterson Professional LLC
• Mary Lou Stevens, PAC
• Michael G Stevenson, CNA
• Stewart Surgical Associates
• Erica Stewart, OTR/L
• Ronald M Stewart, MD
• Megan Joan Stinar, M.D.
• Nathan Stinnett, DPT
• Macy Lyon Stinson
• Hannah Stockemer

• Surgical Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.