Physician Compare National (NPI:1306853627)

HEALTHCARE PROVIDER: STEPHEN SWEARINGEN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306853627
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123176005
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190626003345
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SWEARINGEN
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CLINICAL RADIOLOGISTS, S.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3476540873
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	77
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3050 MONTVALE DR A
	Group Practice or individual's line 1 address
City	SPRINGFIELD
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	627046924
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2177268096
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GUADALUPE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450272
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTRAL TEXAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140015
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BLESSING HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140185
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	141322
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ABRAHAM LINCOLN MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1306853627)

HEALTHCARE PROVIDER: STEPHEN SWEARINGEN MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information