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NPI Code Detail

MEDICARE: ROBERT E STEWARD JR. MD

MEDICARE: ROBERT E STEWARD JR. 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
1208600000XSurgery PhysicianMD014352EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00140176OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3123825OTHERPAHIGHMARK BCBS

General Provider Information

NPI Number : 1629078472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E STEWARD JR. MD
Provider Business Mailing Address
First Line : 809 TURNPIKE AVE
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-1232
Country : US
Telephone Number : 814-768-2356
Fax Number : 814-768-2134
Provider Business Practice Location Address
First Line : 1049 N FRONT ST
Second Line :
City : PHILIPSBURG
State : PA
Zip : 16866-8258
Country : US
Telephone Number : 814-342-9186
Fax Number : 814-342-6684
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 08/01/2010

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