Provider Demographics
NPI:1093797037
Name:STEIN, STUART A (MD, MBA, MS)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:A
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD, MBA, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6929 N HAYDEN RD STE C4-160
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7994
Mailing Address - Country:US
Mailing Address - Phone:520-260-8030
Mailing Address - Fax:520-825-8304
Practice Address - Street 1:6929 N HAYDEN RD STE C4-160
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7994
Practice Address - Country:US
Practice Address - Phone:520-260-8030
Practice Address - Fax:520-825-8304
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG86542084N0400X
AZ323652084N0400X
IL036-0681312084N0400X
GA752532084N0400X
CO424552084N0400X
FLME668302084N0400X
CAG820332084N0400X
MI43010833742084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ954942Medicaid
D97753Medicare UPIN
AZ954942Medicaid
AZZ139688Medicare PIN