DR. JAMES BENTON STEWART JR. (NPI# 1457360646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457360646 |
Entity Type | Individual |
Full Name | DR. JAMES BENTON STEWART JR. |
Credential | M.D. |
Practice Address |
3705 W Memorial Rd Suite 101 Oklahoma City OK 73134-1512 |
Practice Telephone | 4057510020 |
Practice Fax Number | 4057510009 |
Mailing Telephone | 4057510020 |
Mailing Fax Number | 4057510009 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-08-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
17525 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568027126 | James William Stewart II | Student in an Organized Health Care Education/Training Program | 20 York St New Haven, New Haven, CT 06510-3220 | 2019-05-08 |
1720552086 | James Stewart | Counselor | 1410 Dickinson Ave Nw, Olympia, WA 98502-4617 | 2019-01-18 |
1174008189 | James Francis Stewart | Social Worker | 2860 Bailey Ave Apt 1a, Bronx, NY 10463-7227 | 2018-09-26 |
1780138644 | James Stewart | Pharmacist | 503 Duwamish Trl, Winchester, VA 22602-1711 | 2016-08-09 |
1245605120 | James H Stewart | Specialist | 302 Hickman Rd Ste 202, Charlottesville, VA 22911-3572 | 2015-12-03 |
1194192328 | James Nathaniel Stewart | Occupational Therapist | 652 S Medical Center Dr. #ll-10, St George, UT 84790 | 2015-08-24 |
1366886020 | James Korey Stewart | Licensed Practical Nurse | 57486 Marlatt Rd, Cambridge, OH 43725-9354 | 2013-04-24 |
1922366061 | James Ryan Stewart | Student in an Organized Health Care Education/Training Program | 601 S Floyd St Suite 350, Louisville, KY 40202-1837 | 2012-04-26 |
1407136583 | James J. Stewart | Counselor | 633 W Highway 412 Unit 412, Chouteau, OK 74337-2810 | 2011-08-22 |
1619276623 | James H Stewart | Urology | 155 Ohana St, Kailua, HI 96734-2351 | 2011-03-17 |
Street Address |
3705 W MEMORIAL RD SUITE 101 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73134-1512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710973938 | Kenneth Dale Priest Md PC | Anesthesiology | 3705 W Memorial Rd, Suite 302, Oklahoma City, OK 73134-1512 | 2005-09-22 |
1598123697 | Toxicology Center LLC | Clinical Medical Laboratory | 3705 W Memorial Rd, Oklahoma City, OK 73134-1512 | 2016-02-03 |
1891191953 | Castle Medical, LLC | Clinical Medical Laboratory | 3705 W Memorial Rd, Suite 1406-1407, Oklahoma City, OK 73134-1512 | 2014-11-17 |
1174928154 | Christeanna Mae Thomas | Nurse Practitioner | 3705 W Memorial Rd, 601, Oklahoma City, OK 73134-1512 | 2014-11-03 |
1770993701 | Obgyn Care of Oklahoma | Obstetrics & Gynecology | 3705 W Memorial Rd, Ste 1410, Oklahoma City, OK 73134-1512 | 2014-04-29 |
1639426190 | Leann J Valerius | Physical Therapist | 3705 W Memorial Rd, Suite 310, Oklahoma City, OK 73134-1512 | 2012-08-14 |
1720350895 | Balanced Body-orthopedic Physical Therapy & Fitness Training, LLC | Physical Therapist | 3705 W Memorial Rd, Suite 310, Oklahoma City, OK 73134-1512 | 2012-02-03 |
1477836468 | Brandon Corey Gaddy | Physical Therapist | 3705 W Memorial Rd, Suite 310, Oklahoma City, OK 73134-1512 | 2011-09-26 |
1124330758 | Brian James Kanelakos | Physical Therapist | 3705 W Memorial Rd, Suite 301, Oklahoma City, OK 73134-1512 | 2010-07-12 |
1346574472 | Shaurin N Patel | Obstetrics & Gynecology | 3705 W Memorial Rd, Suite 1410, Oklahoma City, OK 73134-1512 | 2009-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
Find all providers in zip 73134 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710195003 | Travis Wayne Blalock | Dermatology | 619 Ne 13th St, Oklahoma City, OK 73104-5001 | 2007-05-18 |
1982658167 | Abbott Dermatology P C | Dermatology | 3500 S Western Ave, Oklahoma City, OK 73109-2413 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427436088 | Robert Clendenin | Dermatology | 432 N Broadway Ave, Shawnee, OK 74801-6922 | 2015-05-14 |
1902930209 | Glenn Koester, M.d., P.C. | Dermatology | 3863 S Boulevard St Ste 200, Edmond, OK 73013-5540 | 2007-03-16 |
1790892461 | Glenn Alan Koester | Dermatology | 3863 S. Boulevard, Edmond, OK 73034 | 2006-08-25 |
1285924837 | Graham Dermatology Center, P.C. | Dermatology | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2011-04-17 |
1417007139 | Eric Wyatt | Dermatology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2007-01-12 |
1487621413 | Mary Melissa Morgan | Dermatology | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2006-03-08 |
City | OKLAHOMA CITY |
Zip Code | 73134 |
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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.