Provider Demographics
NPI:1780734335
Name:STEWART LEWIS, ZOE ANN (MD)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:ANN
Last Name:STEWART LEWIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:ANN
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DRIVE - SE4206H
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-356-1334
Mailing Address - Fax:319-356-1556
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-1334
Practice Address - Fax:319-356-1556
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA38340204F00000X, 208600000X
MDRES001208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI0923219Medicare PIN
IAP00774057Medicare PIN