Individual
STEWART A FERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27400
IA
2084P0800X
Psychiatry Physician
35-06-2806F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328171
ANTHEM PIN
OH
01
—
108663000
MAGELLAN PIN
OH
05
—
2379706
—
OH
01
—
307823
TRICARE/MHN PIN
OH
01
—
7771497
AETNA PIN
OH
05
—
E47264
—
OH
01
—
Y108663
THE HEALTH PLAN PIN
OH
Enumeration date
03/21/2006
Last updated
02/26/2016
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.
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