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NPI Code Detail

MEDICARE: RAYMOND STEWART SR SR.

MEDICARE: RAYMOND STEWART SR SR.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1649121948
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND STEWART SR SR.
Provider Business Mailing Address
First Line : 8411 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-3932
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8411 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-3932
Country : US
Telephone Number : 216-441-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ RAYMOND STEWART SR SR. ” Practice Location

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