Suellywn Stewart (NPI# 1679536932, PAC ID# 3779497292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679536932 |
| PAC ID by PECOS | 3779497292 |
| Professional Enrollment ID | I20031118000521 |
| Full Name | Suellywn Stewart |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Address |
151 Woodgate Dr Johnstown OH 43031-1198 |
| Phone Number | 2205641810 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204740731 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| 360012 | MOUNT CARMEL ST ANN'S |
| 360035 | MOUNT CARMEL WEST |
| Address | Phone | Organization |
|---|---|---|
| 151 Woodgate Dr, Johnstown, OH 43031-1198 | 2205641810 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Kearse | Obstetrics/gynecology | Licking Memorial Professional Corporation | 15 Messimer Dr, Newark, OH 43055-1841 |
| Michael Isaac Sniderman | Anesthesiology | Licking Memorial Professional Corporation | 1320 W Main St, Newark, OH 43055-1822 |
| Bradley R Lawson | Otolaryngology | Licking Memorial Professional Corporation | 36 Mcmillen Dr, Newark, OH 43055-1809 |
| Donald Fairbanks | Family Medicine | Licking Memorial Professional Corporation | 270 Goosepond Rd, Suite 102, Newark, OH 43055-3104 |
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Richard D Kennedy | Family Medicine | Licking Memorial Professional Corporation | 96 Integrity Dr, Hebron, OH 43025-7013 |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Jacob Z Slepian | Otolaryngology | Licking Memorial Professional Corporation | 88 Mcmillen Dr, Newark, OH 43055-1809 |
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Stephen Pickstone | Psychiatry | Licking Memorial Professional Corporation | 200 Messimer Dr, Newark, OH 43055-3627 |
| Street Address |
151 WOODGATE DR |
| City | JOHNSTOWN |
| State | OH |
| Zip | 43031-1198 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Bright | Family Medicine | 340 W Coshocton St, Johnstown, OH 43031-1113 | |
| Anne L Bright | Nurse Practitioner | T.j. Bright and R.g. Vargo, D.o.'s, Inc. | 340 W Coshocton St, Johnstown, OH 43031-1113 |
| Arthur Herbert Fetty | Chiropractic | 24 Meadow Ln, Johnstown, OH 43031-1126 | |
| Matthew R Sutton | Chiropractic | Sutton Health Services, LLC | 24 Meadow Ln, Johnstown, OH 43031-1126 |
| Barton K Hall | Chiropractic | 620 W Coshocton St, Johnstown, OH 43031-9580 | |
| Ronald G Vargo | Family Medicine | 738 W Coshocton St, Johnstown, OH 43031-9581 | |
| Stacy L Stutler | Optometry | Professional Visioncare, Inc | 703 W Coshocton St, Johnstown, OH 43031-9581 |
| Kristyne E Edwards | Optometry | Professional Visioncare, Inc | 703 W Coshocton St, Johnstown, OH 43031-9581 |
| Amy R Lay | Optometry | Professional Visioncare, Inc | 703 W Coshocton St, Johnstown, OH 43031-9581 |
| Carole R Burns | Optometry | Professional Visioncare, Inc | 703 W Coshocton St, Johnstown, OH 43031-9581 |
| Find all physicians in zip 43031 | |||
| City | JOHNSTOWN |
| Zip Code | 43031 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNSTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Suellywn 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.