STEPHEN JACKSON WARD DO
NPI 1356084180
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 19, 2022PECOS Enrolled
420 DELAWARE ST SE # 295, MINNEAPOLIS, MN 55455(612) 625-6519 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Stephen Jackson Ward Do NPPES

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

STEPHEN JACKSON WARD DO (NPI 1356084180) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Rocky Vista University College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1356084180
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN JACKSON WARDCredential: DO
Location Address420 DELAWARE ST SE # 295Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se # 295Minneapolis, MN 55455-0341
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1356084180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE # 295, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Jackson Ward Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931580420
PECOS Enrollment IDI20260810000129
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE # 295
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE # 295
MINNEAPOLIS, MN 55455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Ward's NPI number?

The NPI number for Stephen Ward is 1356084180. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Stephen Ward located?

Stephen Ward practices at 420 Delaware St SE # 295, Minneapolis, MN 55455. The listed phone number is (612) 625-6519.

What is Stephen Ward's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Ward enrolled in Medicare?

Yes. Stephen Ward is registered in the Medicare PECOS enrollment system.

Is Stephen Ward affiliated with any hospitals?

According to CMS data, Stephen Ward is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Ward was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.