MEDICARE: THOMAS D STEWART 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	207Q00000X	Family Medicine Physician	01058047A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	192590022	OTHER	IN	MEDICARE PTAN
3	IN6313001	OTHER	IN	MEDICARE PTAN
4	P00709052	OTHER	IN	RAILROAD MEDICARE
5	M22404071	OTHER	IN	MEDICARE PTAN
6	Q00200549	OTHER	IN	MEDICARE PTAN

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

General Provider Information

NPI Number	:	1316901200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS D STEWART MD

Provider Business Mailing Address
First Line	:	2005 N WALNUT ST
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348-1365
Country	:	US
Telephone Number	:	765-348-1100
Fax Number	:	765-348-9717

Provider Business Practice Location Address
First Line	:	2005 N WALNUT ST
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348-1365
Country	:	US
Telephone Number	:	765-348-1100
Fax Number	:	765-348-9717

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/22/2024

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Directions to “ THOMAS D STEWART MD” Practice Location

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