Provider Demographics
NPI:1952444002
Name:LOUISE H STEWART, MD INC.
Entity Type:Organization
Organization Name:LOUISE H STEWART, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-687-5538
Mailing Address - Street 1:2320 BATH STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2323
Mailing Address - Country:US
Mailing Address - Phone:805-687-5538
Mailing Address - Fax:805-687-5530
Practice Address - Street 1:2320 BATH STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2323
Practice Address - Country:US
Practice Address - Phone:805-687-5538
Practice Address - Fax:805-687-5530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43732174400000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
W16498Medicare ID - Type Unspecified
F10217Medicare UPIN
CAF10217Medicare UPIN