MR. CHARLES JOSEPH STUART IV (NPI# 1689972887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689972887 |
| Entity Type | Individual |
| Full Name | MR. CHARLES JOSEPH STUART IV |
| Practice Address |
750 North 200 West Suite 300 Provo UT 84601 |
| Mailing Address |
4118 North 190 West Provo UT 84604 |
| Practice Telephone | 8013734760 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386178283 | Charles Stuart | Occupational Therapy Assistant | 313 E. Oak Ave, Tampa, FL 33602 | 2017-04-18 |
| 1619135266 | Charles Stuart | Dentist | 1373 Forest Park Cir Ste 103, Lafayette, CO 80026-3193 | 2008-05-30 |
| 1568516102 | Charles C Stuart | Pharmacist | 1932 Granite Valley Way, Petaluma, CA 94954-1842 | 2007-01-22 |
| 1023078284 | Charles Hillam Stuart | Dentist | 7211 N Mesa St Ste 2, El Paso, TX 79912-3611 | 2006-03-23 |
| 1972771376 | Charles L Stuart | Acupuncturist | 10 Chestnut St, Baldwinville, MA 01436-1407 | 2008-02-19 |
| 1942257910 | Charles A. Stuart | Orthopaedic Surgery | 18 Bon Air Rd, Larkspur, CA 94939-1123 | 2006-05-27 |
| 1548227317 | Charles M Stuart | Internal Medicine | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-04-27 |
| 1467440289 | Charles S Stuart | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-10-06 |
| Street Address |
750 NORTH 200 WEST SUITE 300 |
| City | PROVO |
| State | UT |
| Zip Code | 84601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
| 1497198691 | Kelllie Jo Mcintyre | Marriage & Family Therapist | 750 North 200 West, Provo, UT 84601 | 2013-04-08 |
| 1740588110 | Jocelyn De Corte | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Suite 300, Provo, UT 84601 | 2011-03-08 |
| 1295818557 | Ned Nelson Campbell Jr. | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-23 |
| 1639266430 | Catherine M Johnson | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-10-05 |
| 1326146663 | Brian Wayne Butler | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1326146689 | Richard Eugene Shanteau | Psychiatry & Neurology | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1801994140 | Brittany Lisle | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1144328204 | Elizabeth Lewin - Shepley | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| 1306944640 | Kathleen Delynne Howard | Social Worker | 750 North 200 West, Provo, UT 84601 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710444559 | Kimberlee Hughes | Case Manager/Care Coordinator | 750 N Freedom Blvd Ste 123, Provo, UT 84601-1677 | 2019-02-28 |
| 1174088132 | Jennifer Tecson Narra | Case Manager/Care Coordinator | 655 E 600 N Apt 2, Provo, UT 84606-6945 | 2019-02-04 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1447792015 | Emmanuela Bailey | Case Manager/Care Coordinator | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2016-11-13 |
| 1073060091 | Kara Traasdahl | Case Manager/Care Coordinator | 189 Wymount Ter, Provo, UT 84604-1934 | 2016-09-07 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1437500691 | Nathan David Astle | Case Manager/Care Coordinator | 1092 E 360 S, Provo, UT 84606-5222 | 2016-06-28 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
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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.