Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Ryan Stewart, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1962909937

Jacob Ryan Stewart, MD is a Dermatology in North Logan, Utah. Graduated from University of Texas Southwestern Medical School at Dallas in 2018, 8 years ago. Practices with Kelly W Hubbard MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
UT
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2245 N 400 E Ste 104
North Logan, UT 84341-1785
Phone: (435) 752-5741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 12745059-1205 (UT)

Record details

NPI number1962909937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address2245 N 400 E Ste 104, North Logan, UT 84341-1785

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2018 (8 years in practice)
Group practice Kelly W Hubbard Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount