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: July 19, 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.

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
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).

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.

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

The NPI number assigned to this healthcare provider is 1356084180, enumerated as an "individual" on April 19, 2022.

The provider is located at 420 DELAWARE ST SE # 295 MINNEAPOLIS, MN 55455 and the phone number is (612) 625-6519.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.