STEWARD MEDICAL GROUP, INC.
NPI 1104367630
Urology in Cocoa, FL

Q: What is Steward Medical Group, Inc.'s NPI number?

The NPI number for Steward Medical Group, Inc. is 1104367630. It was assigned to this organization in the NPPES registry on March 16, 2017.

Q: What is Steward Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since March 16, 2017

1317 W POINT DR, COCOA, FL 32922(615) 467-4158(615) 467-1267 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2020, Mar 17, 2017 (2 updates tracked since 2017).

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About Steward Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEWARD MEDICAL GROUP, INC. (NPI 1104367630) is a healthcare organization registered as an urology in Cocoa, Florida and active in the NPI registry since March 2017. The organization lists Ashley Koch, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104367630

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameSTEWARD MEDICAL GROUP, INC.

Location Address1317 W POINT DRCocoa, FL 32922-6464

Mailing Address9 Galen StWatertown, MA 02472-4515 · (617) 562-5359

Phone(615) 467-4158

Fax(615) 467-1267

Organization SubpartNo

Authorized OfficialAshley KochCfo · (617) 562-5359

Enumeration DateMarch 16, 2017

Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1104367630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

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.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedSurgeryTaxonomy 208600000X

1317 W POINT DR, Cocoa, FL 32922

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND C BAEZ M.D.

Internal Medicine