MEDICARE: JOHN W STEWART JR. 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	207VM0101X	Maternal & Fetal Medicine Physician	35-06-1099-S	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
3	4306793	OTHER	OH	AETNA #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699770354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN W STEWART JR. M.D.

Provider Business Mailing Address
First Line	:	627 EASTLAND AVE SE STE 202
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-4501
Country	:	US
Telephone Number	:	330-306-5004
Fax Number	:	330-729-7915

Provider Business Practice Location Address
First Line	:	627 EASTLAND AVE SE STE 202
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44484-4501
Country	:	US
Telephone Number	:	330-306-5004
Fax Number	:	330-729-7915

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/27/2021

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Directions to “ JOHN W STEWART JR. M.D.” Practice Location

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