Physician Compare National (NPI:1427019389)

HEALTHCARE PROVIDER: STEVEN K SEWELL 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	1427019389
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113972407
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070501000490
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEWELL
	Individual professional last name
Provider First Name	STEVEN
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1608 S 5TH ST
	Group Practice or individual's line 1 address
City	LEESVILLE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	714465304
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BEAUREGARD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y