Provider Demographics
NPI:1568427573
Name:STEWART, JASON GARNER (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:GARNER
Last Name:STEWART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4300 LANDERS RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2525
Mailing Address - Country:US
Mailing Address - Phone:501-771-1600
Mailing Address - Fax:501-955-2252
Practice Address - Street 1:5 SAINT VINCENT CIR
Practice Address - Street 2:#100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5412
Practice Address - Country:US
Practice Address - Phone:501-663-6455
Practice Address - Fax:501-227-4838
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE2271207X00000X, 207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR139021001Medicaid
H02488Medicare UPIN
AR139021001Medicaid