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NPI Code Detail

MEDICARE: PAUL B STEWART M.D.

MEDICARE: PAUL B STEWART M.D.
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 Physician01048698AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00980459OTHERINRR 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

General Provider Information

NPI Number : 1295739100
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL B STEWART M.D.
Provider Business Mailing Address
First Line : 2525 W UNIVERSITY AVE STE 403
Second Line :
City : MUNCIE
State : IN
Zip : 47303-3409
Country : US
Telephone Number : 765-289-6381
Fax Number :
Provider Business Practice Location Address
First Line : 2525 W UNIVERSITY AVE
Second Line : STE 403
City : MUNCIE
State : IN
Zip : 47303-3409
Country : US
Telephone Number : 765-289-6381
Fax Number : 765-289-3883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 04/18/2013

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Directions to “ PAUL B STEWART M.D.” Practice Location

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