Organization
STEWARD MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KOCH (CFO)
(617) 562-5359
Entity
Organization
Contact information
Practice address
1317 W POINT DR, COCOA, FL 32922-6464
(615) 467-4158
(615) 467-1267
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(617) 562-5359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
08/13/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up