KRISTA STEWART (NPI# 1295077444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295077444 |
| Entity Type | Individual |
| Full Name | KRISTA STEWART |
| Credential | MD |
| Practice Address |
7125 Tamarack Rd Ste 100 Woodbury MN 55125-1308 |
| Mailing Address |
9801 Dupont Ave S Ste 425 Bloomington MN 55431-3873 |
| Practice Telephone | 9528885800 |
| Practice Fax Number | 9525676156 |
| Mailing Telephone | 9528885800 |
| Mailing Fax Number | 9525676156 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 62127 | MN | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
62127 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 516 Delaware St Se, Minneapolis, MN 554550356 | 6126254440 | 6126263119 |
| 200 1st St Sw, Rochester, MN 55905 | 5072842511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836726 | Krista Marie Stewart | Nurse Practitioner | 321 E College Ave, Stanton, KY 40380-2325 | 2018-10-03 |
| 1649334772 | Krista Rose Stewart | Developmental Therapist | 3105 N Wilke Rd Ste H, Arlington Heights, IL 60004-1450 | 2006-12-21 |
| Street Address |
7125 TAMARACK RD STE 100 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707958 | Douglas George Tani | Ophthalmology | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2006-02-06 |
| 1619942174 | Omar Essam Awad | Specialist | 7125 Tamarack Rd Ste 100, Woodbury, MN 55125-1308 | 2006-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887131 | Eye Plastic Surgery of Minnesota Pllc | Ophthalmology | 635 Bielenberg Dr Ste 220, Woodbury, MN 55125-1413 | 2019-02-14 |
| 1033408299 | Douglas Dworak | Ophthalmology | 2080 Woodwinds Dr Ste 110, Woodbury, MN 55125 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427563386 | Minnesota Ophthalmic Plastic Surgery Specialists, P.C. | Ophthalmology | 6405 France Ave S Ste W460, Edina, MN 55435-2189 | 2017-12-13 |
| 1023245701 | Meredith Saylor Baker | Ophthalmology | 6405 France Ave South, Suite W460, Edina, MN 55435-2189 | 2009-06-19 |
| 1619946811 | Eric Richard Nelson | Ophthalmology | 6405 France Ave S, Suite W460, Edina, MN 55435-2163 | 2006-03-17 |
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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.