Swansea Medical Group LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SWANSEA MEDICAL GROUP LTD

Practice address

13 Wolf Creek Dr Ste 1
Swansea, IL 62226-2367

Phone

(618) 233-4458

Fax

(618) 233-8285

NPI assigned

Jan 5, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tana Settle, MDNPI 1184814279

Title

Owner

Phone

(314) 809-3529

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tana D Settle, M.D.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1184814279

  IL

  Medicare reassignment NPD Authorized official
• Heather Samudovsky, PA-C

  • Physician Assistant
  • Springfield, IL
  • NPI 1356962120
  Medicare reassignment Care Compare group
• Brandon Marshall Williams, DC, PA

  • Surgical Physician Assistant
  • Swansea, IL
  • NPI 1134355175
  Medicare reassignment Care Compare group
• Jordan Kimler

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1497112874

  IL

  Medicare reassignment NPD
• Emily Dermody, FNP

  • Gynecology Physician
  • Belleville, IL
  • NPI 1932854817
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1205549128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WOLF CREEK DR STE 1",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262367",
            "telephone_number": "618-233-4458",
            "fax_number": "618-233-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WOLF CREEK DR STE 1",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262367",
            "telephone_number": "618-233-4458",
            "fax_number": "618-233-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWANSEA MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "SETTLE",
        "authorized_official_first_name": "TANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-809-3529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dropbox/SMG",
            "affiliation": "N",
            "endpointDescription": "Dropbox folder; encrypted",
            "address_1": "13 Wolf Creek Dr Ste 1",
            "city": "Swansea",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622262367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James K Stubblefield, DDS
• Sunnii'S Soothing Touch
• Carley Sutton
• Swansea Hco, LLC
• Swansea Hco, LLC
• Diane S Sweeney, PT
• Leann Christine Sweeney
• Sycamore Village LLC
• The Brown Clinic P.C.
• The Busch Clinic, P.C.

• Physical Medicine & Rehabilitation Physician in Swansea, IL
• Providers in Swansea, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.