SUELLYWN STEWART (NPI# 1679536932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679536932 |
| Entity Type | Individual |
| Full Name | SUELLYWN STEWART |
| Credential | MD |
| Practice Address |
151 Woodgate Dr Johnstown OH 43031 |
| Mailing Address |
151 Woodgate Drive Johnstown OH 43031 |
| Practice Telephone | 2205641810 |
| Practice Fax Number | 2205641811 |
| Mailing Telephone | 2205641810 |
| Mailing Fax Number | 2205641811 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35083236 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2437045 | 05 |
| Street Address |
151 WOODGATE DR |
| City | JOHNSTOWN |
| State | OH |
| Zip Code | 43031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518490317 | Elizabeth Wei Mcintosh | Family Medicine | 151 Woodgate Dr, Johnstown, OH 43031-1198 | 2017-04-07 |
| 1255365102 | Licking Memorial Professional Corp | Family Medicine | 151 Woodgate Dr, Johnstown, OH 43031-1198 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209479 | Cindy Wolt Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2012-10-15 |
| 1336473701 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 W Coshocton St, Johnstown, OH 43031 | 2009-10-01 |
| 1548323389 | Jeffrey R Jaicks Dds LLC | Dentist | 171 W Coshocton Street, Johnstown, OH 43031 | 2006-12-19 |
| 1114091915 | Brian J Walsh Dds Inc | Dentist | 370 West Coshocton St, Johnstown, OH 43031 | 2006-11-20 |
| 1265423727 | Zandex Health Care Corp | Skilled Nursing Facility | 267 North Main Street, Johnstown, OH 43031 | 2005-11-03 |
| 1982095808 | Cindy Wolt Dds Inc | Dentist | 848 West Coshocton Street, Johnstown, OH 43031 | 2015-02-13 |
| 1154400521 | Elissa Ruth Gonidakis | Speech-Language Pathologist | 267 N Main St, Johnstown, OH 43031 | 2006-11-04 |
| 1831482090 | Sally Jean Blubaugh | Registered Nurse | 206 Edwards Rd, Johnstown, OH 43031-1060 | 2011-05-20 |
| 1114484615 | Robin E Jones | Occupational Therapy Assistant | 508 Cole Dr, Johnstown, OH 43031-1088 | 2019-02-21 |
| 1982805180 | Jefrey Russell Jaicks | Dentist | 171 W Coshocton St, Johnstown, OH 43031-1108 | 2007-05-29 |
| Find all providers in zip 43031 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290411 | Rg Vargo Do Inc | Family Medicine | 738 W Coshocton St, Johnstown, OH 43031-9581 | 2017-08-14 |
| 1972957132 | Travis Rearick | Family Medicine | 1450 Scalp Ave # 3b, Johnstown, PA 15904-3321 | 2016-04-14 |
| 1598025801 | Prerana Bhupendrakumar Patel | Family Medicine | 1 Tech Park Dr Ste 1130, Johnstown, PA 15901-2517 | 2012-05-21 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1720240112 | Jimmy Pyakurel | Family Medicine | 334 Bloomfield St Ste 205, Johnstown, PA 15904-3269 | 2008-06-27 |
| 1205007820 | Conemaugh Health Initiatives | Family Medicine | 338 Bloomfield St, Johnstown, PA 15904-3272 | 2008-03-24 |
| 1144369869 | Carol E. Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906-2310 | 2007-02-06 |
| 1861531766 | Sharon Marie Plank | Family Medicine | 1450 Scalp Ave Ste 1000, Johnstown, PA 15904-3335 | 2007-02-06 |
| 1942399134 | Cara E. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| Find all providers in JOHNSTOWN | ||||
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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.