| Johnny Creed Stewart, MD | |
|
2829 S Jackson Ave, Joplin, MO 64804-2525 | |
| (417) 624-0440 | |
| Not Available |
| Full Name | Johnny Creed Stewart |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 30 Years |
| Location | 2829 S Jackson Ave, Joplin, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730157439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2026013576 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tulsa Dermatology Clinic Inc | 7719079839 | 8 |
| Dermatology And Skin Cancer Specialists Llc | 5294721486 | 44 |
| Entity Name | Tulsa Dermatology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194741561 PECOS PAC ID: 7719079839 Enrollment ID: O20070822000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Creed Stewart, MD 2829 S Jackson Ave, Joplin, MO 64804-2525 Ph: (417) 624-0440 | Johnny Creed Stewart, MD 2829 S Jackson Ave, Joplin, MO 64804-2525 Ph: (417) 624-0440 |
Nathaniel M Phelan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 E 32nd St, Joplin, MO 64804 Phone: 417-622-0293 Fax: 833-275-1784 | |
Derek S Towery, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2829 S Jackson Ave, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652 | |
Dr. Ahmed Badawi, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-8066 Fax: 417-347-8067 |