Individual provider Active NPI

Stephanie L. Swords, MD

  • Internal Medicine Physician
  • Republic, MO
National Provider Identifier
1215071709
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001025586 Issued in MO
Practice address
332 S Main Ave
Republic, MO 65738-1861
Phone
(417) 732-5050
Fax
(417) 831-0155
NPI assigned
Feb 16, 2007
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001025586 MO Primary
Pediatrics Physician 208000000X 2001025586 MO

Addresses

Primary practice location

332 S Main Ave
Republic, MO 65738-1861

Mailing address

332 S Main Ave
Republic, MO 65738-1861
Phone (417) 732-5050

Other identifiers 3

IdentifierTypeStateIssuer
152448001MedicaidAR
99188OtherMOAR BLUE SHIELD #
205426901MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090819000123 MO Practitioner - Internal Medicine 2062566599 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Sep 8, 2020 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Sep 8, 2020 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jul 11, 2009 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jul 11, 2009 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 8, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

332 S Main Ave
Republic, MO 65738
Phone (417) 432-5058

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1215071709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S MAIN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381861",
            "telephone_number": "417-732-5050",
            "fax_number": "417-831-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 S MAIN AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381861",
            "telephone_number": "417-732-5050",
            "fax_number": "417-831-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWORDS",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001025586",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2001025586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152448001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD #",
            "identifier": "99188",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205426901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Republic, MO

Sources for this page

Verify at the official NPI Registry.