Krista Jean Stewart (NPI# 1295077444, PAC ID# 2567767965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1295077444 |
| PAC ID by PECOS | 2567767965 |
| Professional Enrollment ID | I20170612002934 |
| Full Name | Krista Jean Stewart |
| Organization Legal Name | MINNESOTA EYE CONSULTANTS, PA |
| Address |
7125 Tamarack Rd Woodbury MN 55125-1204 |
| Phone Number | 9528885800 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 4284524539 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7125 Tamarack Rd, Woodbury, MN 55125-1204 | 9528885800 | MINNESOTA EYE CONSULTANTS, PA |
| Organization Legal Name | MINNESOTA EYE CONSULTANTS, PA |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Christine Gundale | Physician Assistant | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Honora E Kennedy | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Mona M Fahmy | Optometry | Minnesota Eye Consultants, Pa | 710 24th St E, Suite 100, Minneapolis, MN 55404-3810 |
| Elizabeth A Davis | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Mark Roger Buboltz | Optometry | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Sherman Winston Reeves | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Thomas W Samuelson | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Jill S Melicher Larson | Ophthalmology | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Douglas G Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Kristen M Chuba | Physician Assistant | Minnesota Eye Consultants, Pa | 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431-3200 |
| Street Address |
7125 TAMARACK RD |
| City | WOODBURY |
| State | MN |
| Zip | 55125-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Christine Gundale | Physician Assistant | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Pamela E Wagner | Certified Registered Nurse Anesthetist (crna) | Certified Anesthesia Care Co | 7125 Tamarack Rd, Suite 200, Woodbury, MN 55125-2501 |
| Mark Roger Buboltz | Optometry | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Douglas G Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Richard M Launer | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Paul M Tani | Ophthalmology | Minnesota Eye Consultants, Pa | 7125 Tamarack Rd, Woodbury, MN 55125-1204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WOODBURY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Krista Jean 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.