MEDICARE: SCOTT P STUART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	28132	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	04088	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1316933948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT P STUART MD

Provider Business Mailing Address
First Line	:	PO BOX 5925
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-0891
Country	:	US
Telephone Number	:	319-321-9998
Fax Number	:	319-626-2856

Provider Business Practice Location Address
First Line	:	585 W CHERRY ST
Second Line	:
City	:	NORTH LIBERTY
State	:	IA
Zip	:	52317-9797
Country	:	US
Telephone Number	:	319-569-8085
Fax Number	:	319-626-2856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	12/14/2020

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Directions to “ SCOTT P STUART MD” Practice Location

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