Provider Demographics
NPI:1407818313
Name:STEWART, MARIAN BARRAUD (MD)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:BARRAUD
Last Name:STEWART
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2315 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32505-7552
Mailing Address - Country:US
Mailing Address - Phone:850-724-4054
Mailing Address - Fax:850-724-4170
Practice Address - Street 1:501 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CENTURY
Practice Address - State:FL
Practice Address - Zip Code:32535-2914
Practice Address - Country:US
Practice Address - Phone:850-724-4054
Practice Address - Fax:850-724-4170
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68044208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160274001OtherTEXAS MEDICAID
160461OtherHEALTHEASE HEALTH 1ST
FL32119OtherPREFERRED PATIENT CARE
5173714OtherAETNA US HEALTHCARE
32119OtherHEALTH OPTIONS
5173714OtherAETNA
Q68044OtherDEPARTMENT OF PHYS SE
FL1206338OtherUNITED HEALTHCARE
FL4878883OtherCIGNA INTERNATIONAL
5173714OtherAETNA CONTAINER
593216460OtherCHILDRENS MEDICAL SECURIT
AL009905570OtherALACAID
FL4878883OtherCIGNA HEALTHCARE
AL59109002OtherBLUE CROSS AND BLUE SHIELD OF ALABAMA
FL660022102Medicaid
015443OtherPCA FAMILY HEALTH PLAN
FL32119OtherBLUE CROSS AND BLUE SHIELD OF FLORIDA
AL541900103OtherALACAID
FL660022100Medicaid
1206338OtherAARP HEALTHCARE UNITED
FL5173714OtherAETNA GLOBAL BENEFITS
FL5173714OtherAETNA US HEALTHCARE
FL051359OtherVISTA
FL32119OtherHEALTH 1ST NETWORK
541009001OtherALACAID
AL59176907OtherBLUE CROSS AND BLUE SHIELD OF ALABAMA
FL251076600Medicaid
5173714OtherAETNA LIFE INS CO
FL251076600Medicaid