DR. CHARLES EUGENE STEWART IV (NPI# 1669422903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669422903 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EUGENE STEWART IV |
| Credential | MD |
| Practice Address |
11370 Anderson St Ste 2100 Loma Linda CA 92354-3450 |
| Mailing Address |
54701 File Number Los Angeles CA 90074-4701 |
| Practice Telephone | 9095588558 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A78669 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A786690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424203 | Charles Russell Stewart | Technician | 2613 Piqua St., Ashland, KY 41102 | 2020-07-13 |
| 1548548423 | Charles Lee Stewart | Student in an Organized Health Care Education/Training Program | 6066 Shingle Creek Pkwy Ste 1103, Brooklyn Center, MN 55430-2316 | 2011-07-27 |
| 1891003786 | Charles Harmon Stewart | Social Worker | 702 S Ridgewood Ave, Daytona Beach, FL 32114-5332 | 2010-09-14 |
| 1770803447 | Charles Martin Stewart | Specialist/Technologist, Other | 18003 S Alexander Rd, Alexander, AR 72002-2391 | 2010-06-04 |
| 1043436702 | Charles Edward Stewart | Dentist | 2228 N Downing, Angleton, TX 77515 | 2007-04-18 |
| 1245359363 | Charles M. Stewart | Psychiatry & Neurology | 9 Gilman Ave, Brunswick, ME 04011-1989 | 2007-03-28 |
| 1184759391 | Charles F Stewart | Dentist | 132 N 10th St, Santa Paula, CA 93060-2803 | 2007-02-21 |
| 1467594176 | Charles Martin Stewart Jr. | Pharmacist | 3501 Gano St, Houston, TX 77009-5825 | 2007-02-12 |
| 1740347343 | Charles Kerth Stewart | Veterinarian | 890 Old Dixie Highway Sw, Live Oak Animal Hospital, Vero Beach, FL 32962 | 2007-01-02 |
| 1144307240 | Charles Eugene Stewart | Dentist | 940 Fallowfield Avenue, Charleroi, PA 15022-2140 | 2006-11-01 |
| Street Address |
11370 ANDERSON ST STE 2100 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310860 | Nerida T Bates | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2005-10-14 |
| 1922520709 | Jodi Datema | Speech-Language Pathologist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2017-07-12 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1356710875 | Jody Michelle Gonzalez | Pharmacist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-09-15 |
| 1558749382 | Stephanie Laroche Fegale | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-05-13 |
| 1033597018 | Craig Antone White | Ophthalmology | 11370 Anderson St, Loma Linda, CA 92354 | 2015-05-11 |
| 1104246016 | Juthamas Kositsawat | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354 | 2014-04-17 |
| 1972941037 | Allie Ann Maus | Audiologist | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2013-06-11 |
| 1578908240 | Anh Nguyen Do | Dentist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2013-05-07 |
| 1376803288 | Philip David Eaton | Radiology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1841580339 | Pedro Alcantara De Andrade Filho | Otolaryngology | 11175 Campus St Ste 11120, Loma Linda, CA 92350-1700 | 2011-04-18 |
| 1841468063 | Jared Christian Inman | Otolaryngology | 11234 Anderson St Ste 2586a, Loma Linda, CA 92354-2804 | 2008-02-11 |
| 1346460474 | Steve Lee | Otolaryngology | 11234 Anderson St Rm 2584, Loma Linda, CA 92354-2804 | 2007-04-30 |
| 1265479745 | Tsungju O-lee | Otolaryngology | 11234 Anderson St Rm 2586, Loma Linda, CA 92354-2804 | 2006-06-01 |
| 1801383799 | Gabriel Adam Arom | Otolaryngology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2018-04-17 |
| 1548700404 | Bassem Hanna | Otolaryngology | 11234 Anderson St, Room 2587a, Loma Linda, CA 92354-2804 | 2017-02-27 |
| 1689085912 | Traci Win Bailey | Otolaryngology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2014-05-08 |
| 1093134173 | Khanh K Nguyen | Otolaryngology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2014-04-16 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.