DR. RANDALL STEVE STEWART (NPI# 1104892165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104892165 |
Entity Type | Individual |
Full Name | DR. RANDALL STEVE STEWART |
Credential | MD |
Practice Address |
2995 Reidville Rd Ste 100 Spartanburg SC 29301-5600 |
Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
Practice Telephone | 8645873000 |
Practice Fax Number | 8645873019 |
Mailing Telephone | 8645604304 |
Mailing Fax Number | 8645604413 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2019-05-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 11373 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 113736 | 05 | |
SC | MEDICARE PIN | SCE4506084 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801212139 | Randall Stewart | Psychologist | 3580 Wilshire Blvd Ste 2000, Los Angeles, CA 90010-2533 | 2014-03-11 |
1801009162 | Randall Howard Stewart | Dentist | 2711 Randolph Rd, Suite 309, Charlotte, NC 28207-2034 | 2007-05-07 |
1376681676 | Randall K Stewart | Internal Medicine | 8000 Al Highway 69, Guntersville, AL 35976-7140 | 2007-02-01 |
1942352505 | Randall H Stewart | Social Worker | 4040 Memorial Pkwy Sw, Mental Health Center of Madison County, Huntsville, AL 35802-4364 | 2007-01-16 |
1053414839 | Randall Stewart | Physical Therapist | 2413 Professional Dr, Rocky Mount, NC 27804-2254 | 2006-09-06 |
1720199680 | Randall Warne Stewart | Psychologist | 801 Hazen Street, Suite C, Paw Paw, MI 49079-0249 | 2006-08-31 |
1407834633 | Randall Thomas Stewart | Nurse Anesthetist, Certified Registered | 1700 E 19th St, Mid Columbia Medical Center, The Dalles, OR 97058-9653 | 2006-01-06 |
Street Address |
2995 REIDVILLE RD STE 100 |
City | SPARTANBURG |
State | SC |
Zip Code | 29301-5600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043204266 | Elizabeth J Youngs | Nurse Practitioner | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2005-09-02 |
1760951867 | Spartanburg Medical Center | Family Medicine | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2018-11-19 |
1952414690 | Mary Jeanne Williams | Nurse Practitioner | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2006-08-16 |
1982612925 | Mary Black Health System LLC | Internal Medicine | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2006-08-04 |
1265457691 | Deepak Malhan | Emergency Medicine | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2006-07-13 |
1679556567 | Sherley Brito | Nurse Practitioner | 2995 Reidville Rd Ste 100, Spartanburg, SC 29301-5600 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
Find all providers in zip 29301 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760903793 | Samuel Ostrum | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-06-29 |
1386164671 | Jeffrey Kyle Cooper | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2017-06-27 |
1518317569 | Bradley Aaron Cagle | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2016-06-20 |
1366857930 | Nancy Ballantyne | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2014-06-23 |
1508206285 | Justin Clint Black | General Practice | 101 E Wood St, Spartanburg, SC 29303-3040 | 2013-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912253 | Life Essentials Health Center LLC | General Practice | 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464-3342 | 2020-11-04 |
1710591706 | Madhuri Khadka | General Practice | 427 Galbreath Ct, Fort Mill, SC 29708-0176 | 2020-09-07 |
1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
Find all providers with the same taxonomy |
City | SPARTANBURG |
Zip Code | 29301 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.