MR. SAMUEL DAVIS STUART (NPI# 1073034443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073034443 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL DAVIS STUART |
| Other Name | MR. SAM DAVIS STUART |
| Credential | CPO |
| Practice Address |
1710 S Hawthorne Rd Winston Salem NC 27103-4016 |
| Practice Telephone | (336) 768-3666 |
| Practice Fax Number | 3367683468 |
| Mailing Telephone | 3367683666 |
| Mailing Fax Number | 3367683468 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ABC | CPO03809 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 N Elm St Ste 101, High Point, NC 272623929 | 3368897661 | 3368897662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447212667 | Samuel Patrick Stuart Jr. | Specialist | 2915 Lyndhurst Ave, Winston Salem, NC 27103-4005 | 2006-04-04 |
| Street Address |
1710 S HAWTHORNE RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992932016 | Summit Eye Care, P.a. | Ophthalmology | 1710 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2009-06-16 |
| 1982853503 | Arnold A Schwartz Md, Pa | Ophthalmology | 1710 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2008-09-18 |
| 1609024165 | Pinnacle Eye Care Pa | Ophthalmology | 1710 S Hawthorne Rd, Winston Salem, NC 27103-4016 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700152410 | Bradley Reid Robinson | Prosthetist | 3680 Westgate Center Cir, Winston Salem, NC 27103-2935 | 2012-03-27 |
| 1275681975 | George William Arrowood | Prosthetist | 3303 Healy Dr, Winston Salem, NC 27103-1478 | 2007-01-08 |
| 1497158554 | Tierney Orthotics and Prosthetics Inc. | Prosthetist | 1345 Westgate Center Dr Ste B, Winston Salem, NC 27103-3041 | 2014-10-03 |
| 1477820090 | Cherry Cooper Tull | Prosthetist | 1400 Millgate Dr, Suite A, Winston Salem, NC 27103-1338 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
| 1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
| 1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
| 1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
| 1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
| 1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
| 1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
| 1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
| 1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
| 1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on MR. SAMUEL DAVIS STUART.
| 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.