Provider Demographics
NPI:1295888477
Name:STEWART, MARIA (CHHA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:CHHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 NOE BIXBY ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232
Mailing Address - Country:US
Mailing Address - Phone:614-657-3331
Mailing Address - Fax:614-833-9964
Practice Address - Street 1:3521 NOE BIXBY ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232
Practice Address - Country:US
Practice Address - Phone:614-657-3331
Practice Address - Fax:614-833-9964
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered172A00000XOther Service ProvidersDriver
Not Answered376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2625458OtherTRANSPORTATION
OH2082286Medicaid
OH2511428OtherMMRON IO WAIVER