Physician Compare National (NPI:1265423313)

HEALTHCARE PROVIDER: JOHN ALVIN STEWART M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265423313
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294904793
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110817000404
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STEWART
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	ALVAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	122 N 20TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 25
	Group Practice or individual's line 2 address
City	OPELIKA
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	368015442
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EAST ALABAMA MEDICAL CENTER AND SNF
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y