MEDICARE: DR. NORMAN CHARLES 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
1	207V00000X	Obstetrics & Gynecology Physician	T3704	TX
2	207V00000X	Obstetrics & Gynecology Physician	305273	LA
3	207V00000X	Obstetrics & Gynecology Physician	32659	OK
4	207V00000X	Obstetrics & Gynecology Physician	272031	NY

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	MD.305273	OTHER	LA	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1578990206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN CHARLES STEWART M.D.

Provider Business Mailing Address
First Line	:	836 UNIVERSITY DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6120
Country	:	US
Telephone Number	:	337-990-8595
Fax Number	:	337-990-5646

Provider Business Practice Location Address
First Line	:	836 UNIVERSITY DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6120
Country	:	US
Telephone Number	:	337-990-8595
Fax Number	:	337-990-5646

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

Provider Enumeration Date	:	09/26/2013
Last Update Date	:	05/27/2026

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Directions to “ DR. NORMAN CHARLES STEWART M.D.” Practice Location

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