W.b. Stewart Tigers Athletics Boosters
NPI 1841794682 · Pediatric Adolescent Medicine Physician · Jacksonville, FL
W.b. Stewart Tigers Athletics Boosters is a Pediatric Adolescent Medicine Physician organization in Jacksonville, FL (NPI 1841794682).
Provider details
- NPI number
- 1841794682
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ewc Sports Medicine
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2018-03-19
Frequently asked questions
- What is W.b. Stewart Tigers Athletics Boosters's NPI number?
- W.b. Stewart Tigers Athletics Boosters's National Provider Identifier (NPI) is 1841794682, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is W.b. Stewart Tigers Athletics Boosters?
- W.b. Stewart Tigers Athletics Boosters is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is W.b. Stewart Tigers Athletics Boosters located?
- W.b. Stewart Tigers Athletics Boosters's practice location on file with NPPES is 1658 Kings Rd, Jacksonville, FL 32209-6167.
- What is W.b. Stewart Tigers Athletics Boosters's phone number?
- The practice phone number listed in the NPPES registry for W.b. Stewart Tigers Athletics Boosters is (972) 367-4845.
- Who is the authorized official for W.b. Stewart Tigers Athletics Boosters?
- The authorized official listed on W.b. Stewart Tigers Athletics Boosters's NPPES record is Mouzon Bass, Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is W.b. Stewart Tigers Athletics Boosters's NPI active?
- Yes — W.b. Stewart Tigers Athletics Boosters's NPI (1841794682) is active in the NPPES registry as of the last update on 2018-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.