STEWARD MEDICAL GROUP INC. NPI 1104367630

NPI Information

  • NPI: 1104367630
  • Provider Name: STEWARD MEDICAL GROUP, INC.
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 10D0275976
  • Address: 1317 W POINT DR
    COCOA, FL
    ZIP 32922
  • Phone: (615) 467-4158

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NPI Details

STEWARD MEDICAL GROUP, INC. is an urology in Cocoa, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. STEWARD MEDICAL GROUP, INC. NPI is 1104367630. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1317 W POINT DR
COCOA, FL
ZIP 32922-464
Phone: (615) 467-4158
Fax: (615) 467-1267

The provider's authorized official is Ashley Koch .
The authorized official title is Cfo and has the following contact phone number (617) 562-5359.

The CLIA number assigned to this NPI record is 10D0275976 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2017 and was last updated on 8/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
6207V00000XObstetrics & GynecologyNo
7208600000XSurgeryNo
8208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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