SUSAN ELIZABETH STEWART (NPI# 1588974026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588974026 |
| Entity Type | Individual |
| Full Name | SUSAN ELIZABETH STEWART |
| Credential | A.N.P. |
| Practice Address |
3 St. Elizabeth's Blvd. Ste. 2800 O'fallon IL 62269-1099 |
| Mailing Address |
3 Saint Elizabeth Blvd Ste 2800 O Fallon IL 62269-1099 |
| Practice Telephone | 6182336044 |
| Practice Fax Number | 6182335195 |
| Mailing Telephone | 6182336044 |
| Mailing Fax Number | 6182335195 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
209.007628 | IL | Allopathic & Osteopathic Physicians |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209007628 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD | P01046089 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245203 | Susan Stewart | Marriage & Family Therapist | 9974 Molly Pitcher Hwy Ste 4, Shippensburg, PA 17257-8503 | 2017-03-06 |
| 1609227685 | Susan E. Stewart | Acupuncturist | 320 Third Street, Sutie B, Neptune Beach, FL 32266 | 2016-06-30 |
| 1457708869 | Susan Stewart | Pharmacist | 6509 Grand Ave, Gurnee, IL 60031-1643 | 2016-05-16 |
| 1235374240 | Susan Ann Stewart | Nurse Practitioner | 2631 Federal St, East Camden Health Center, Camden, NJ 08105-1935 | 2008-12-04 |
| 1467629915 | Susan Roach Stewart | Speech-Language Pathologist | 13555 Streamside Drive, Lake Oswego, OR 97035 | 2008-05-14 |
| 1386839868 | Susan Ray Stewart | Custodial Care Facility | 4159 Brandon Ln, Burlington, NC 27217-7755 | 2007-09-07 |
| 1679647309 | Susan Montagu Stewart | Physical Therapist | 300 Springhouse Lane, Collegeville, PA 19426 | 2006-11-17 |
| 1558471532 | Susan Stewart | Physical Therapy Assistant | 1603 Decatur Hwy, Ste 103, Gardendale, AL 35071-2302 | 2006-08-30 |
| 1194728139 | Susan S Stewart | Physician Assistant | Maui Medical Group, 2180 Main Street, Wailuku, HI 96793 | 2005-05-23 |
| 1124653738 | Susan May Stewart | Speech-Language Pathologist | 3615 Spicer Dr Se, Albany, OR 97322-7043 | 2020-03-04 |
| Street Address |
3 ST. ELIZABETH'S BLVD. STE. 2800 |
| City | O'FALLON |
| State | IL |
| Zip Code | 62269-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851957120 | Danyelle Nicole Beltz | Family Medicine | 3 St. Elizabeth's Blvd., Suite 4000, O'fallon, IL 62269-1284 | 2019-05-13 |
| 1073177051 | Mehwish Siddiqui | Family Medicine | 3 St. Elizabeth's Blvd., Suite 4000, O'fallon, IL 62269 | 2019-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998553 | Melissa Litwin | Nurse Practitioner | 9127 Burlington Ave, Brookfield, IL 60513-1939 | 2020-10-06 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1518506625 | Lila Macalinga Rivera | Nurse Practitioner | 17w335 16th St, Oakbrook Terrace, IL 60181-4030 | 2020-01-06 |
| 1922642495 | Christine Nacar | Nurse Practitioner | 1232 Le Moyne Ave, Romeoville, IL 60446-4180 | 2019-10-29 |
| 1144871344 | Wensheng Tracy Wu | Nurse Practitioner | 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 | 2019-09-27 |
| 1881245314 | Mkbb LLC | Nurse Practitioner | 1212 E Algonquin Rd, Algonquin, IL 60102-5446 | 2019-09-25 |
| 1225681455 | Jinu Joss | Nurse Practitioner | 9939 N Warren Oval, Niles, IL 60714-1044 | 2019-07-17 |
| 1659830057 | Ginger Dean | Nurse Practitioner | 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 | 2019-03-15 |
| 1770048910 | Amanda K Honchell I | Nurse Practitioner | 401 W Madison St, Mount Carroll, IL 61053-9485 | 2019-02-01 |
| 1548725799 | Grace Nwaka Wabomnor | Nurse Practitioner | 17 E Grandview Dr, South Holland, IL 60473-1099 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
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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.