Physician Compare National (NPI:1699954172)

HEALTHCARE PROVIDER: STEPHEN ALEXANDER IRWIN M.D.

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

Individual Professional Information
NPI	1699954172
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709954183
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110315000108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IRWIN
	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 SOUTH FLORIDA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5302 W VILLAGE PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	ROGERS
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	727588139
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040152
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS' SPECIALTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	040010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL NORTHWEST ARKANSAS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y