Provider Demographics
NPI:1124024690
Name:STEWART, AARON D (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:D
Last Name:STEWART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1698 OLD LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-9662
Mailing Address - Country:US
Mailing Address - Phone:502-648-2123
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:105 GREENBRIAR DR STE B
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-9617
Practice Address - Country:US
Practice Address - Phone:270-465-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY31381207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0700075OtherUNITED HEALTHCARE
KY160030392OtherRAILROAD
KY64313810Medicaid
KYP01140462OtherMEDICARE RR - WS
KY1058728OtherPASSPORT
KY11ED3000000044475OtherBLUE CROSS/BLUE SHIELD
KY6016739300OtherHUMANA
KY50036614OtherPASSPORT - WS
KY160030392OtherRAILROAD
KY0700075OtherUNITED HEALTHCARE
KY1267811Medicare ID - Type UnspecifiedMEDICARE