Phillip Charles Stewart (NPI# 1962690065, PAC ID# 2860580479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962690065 |
| PAC ID by PECOS | 2860580479 |
| Professional Enrollment ID | I20071117000030 |
| Full Name | Phillip Charles Stewart |
| Organization Legal Name | MIDWEST SPINE AND BRAIN INSTITUTE LLC |
| Address |
1835 W Country Rd C Suite 150 Roseville MN 55113 |
| Phone Number | 6514303800 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183613557 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2215 Park Ave, Minneapolis, MN 55404-3711 | 6127758927 | ALLINA HEALTH SYSTEM |
| 710 E 24th St, Suite 203, Minneapolis, MN 55404-3810 | 6127758866 | ALLINA HEALTH SYSTEM |
| 1835 W Country Rd C, Suite 150, Roseville, MN 55113 | 6514303800 | MIDWEST SPINE AND BRAIN INSTITUTE LLC |
| 280 Smith Ave N, Suite 700, Saint Paul, MN 55102-2972 | ALLINA HEALTH SYSTEM | |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512418000 | ALLINA HEALTH SYSTEM |
| 333 Smith Ave N, St Paul, MN 55102-2344 | 6516359173 | ALLINA HEALTH SYSTEM |
| Organization Legal Name | MIDWEST SPINE AND BRAIN INSTITUTE LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Jacob G Guth | Physician Assistant | Midwest Spine and Brain Institute LLC | 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7615 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| David T Chang | Neurosurgery | Midwest Spine and Brain Institute LLC | 7373 France Ave S, Suite 408, Edina, MN 55435-4549 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Street Address |
1835 W COUNTRY RD C SUITE 150 |
| City | ROSEVILLE |
| State | MN |
| Zip | 55113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grady J Glynn | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Tonya M Wells | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Caroline A Mason | Family Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Rocklin A Shir | Emergency Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Pamela J Becker | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Scott D Ulbricht | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Victor J Chow | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Jennifer M Nowatzki | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Erin E Palen | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Charles E Kelly | Internal Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Find all physicians in zip 55113 | |||
| City | ROSEVILLE |
| Zip Code | 55113 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROSEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Phillip Charles Stewart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.