Basic Information
Provider Information | |||||||||
NPI: | 1881915528 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | STEWART | ||||||||
FirstName: | JOSHUA | ||||||||
MiddleName: | CURTIS | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 11808 NORTHUP WAY STE W300 | ||||||||
Address2: |   | ||||||||
City: | BELLEVUE | ||||||||
State: | WA | ||||||||
PostalCode: | 980051938 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4252841547 | ||||||||
FaxNumber: | 4252841546 | ||||||||
Practice Location | |||||||||
Address1: | 21601 76TH AVE W | ||||||||
Address2: |   | ||||||||
City: | EDMONDS | ||||||||
State: | WA | ||||||||
PostalCode: | 980267507 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4252841547 | ||||||||
FaxNumber: | 4252841546 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/16/2010 | ||||||||
LastUpdateDate: | 03/21/2019 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 4301105633 | MI | N |   | Allopathic & Osteopathic Physicians | Anesthesiology |   | 207L00000X | MD60860699 | WA | Y |   | Allopathic & Osteopathic Physicians | Anesthesiology |   |
No ID Information.