Active NPI
Eleanor Steele Stewart, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Clinton, MD
National Provider Identifier
1972707347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD11629
- Practice address
- 4410 Natahala Dr # 1
Clinton, MD 20735-4303 - Phone
- (301) 297-5759
- Fax
- (301) 297-5759
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD11629 | DC | Primary |
Addresses
Primary practice location
4410 Natahala Dr # 1
Clinton, MD 20735-4303
Mailing address
4410 Natahala Dr
# 1
Clinton, MD 20735-4303
Phone (301) 297-5759
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 |
|---|---|---|---|
| 11629 | MD | MD | Periodontist |
| MD11629 | DC | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1972707347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 NATAHALA DR",
"address_2": "# 1",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354303",
"telephone_number": "301-297-5759",
"fax_number": "301-297-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 NATAHALA DR # 1",
"city": "CLINTON",
"state": "MD",
"postal_code": "207354303",
"telephone_number": "301-297-5759",
"fax_number": "301-297-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ELEANOR",
"middle_name": "STEELE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "DC",
"license": "MD11629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.