Provider Demographics
NPI:1609861855
Name:STUART, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:STUART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:650 SMITHFIELD ST
Mailing Address - Street 2:STE 1360
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-3900
Mailing Address - Country:US
Mailing Address - Phone:412-281-5876
Mailing Address - Fax:412-281-9156
Practice Address - Street 1:5700 CORPORATE DR
Practice Address - Street 2:STE 490
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5861
Practice Address - Country:US
Practice Address - Phone:412-364-5282
Practice Address - Fax:412-364-3690
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD018926E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAST104279Medicare ID - Type Unspecified
C30122Medicare UPIN