MEDICARE: EMILY C STEWART P.A

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	363A00000X	Physician Assistant	PA.0005930	CO
2	363AS0400X	Surgical Physician Assistant	PA.0005930	CO

General Provider Information

NPI Number	:	1902225576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY C STEWART P.A

Provider Business Mailing Address
First Line	:	5460 S QUEBEC ST STE 310
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-1930
Country	:	US
Telephone Number	:	720-927-7463
Fax Number	:

Provider Business Practice Location Address
First Line	:	5460 S QUEBEC ST STE 310
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-1930
Country	:	US
Telephone Number	:	720-927-7463
Fax Number	:

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

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	12/10/2025

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