Paul Stanley Szewczyk, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036070355 Issued in IL

Practice address

4900 W Main St
Belleville, IL 62226-4725

Phone

(618) 235-2400

Fax

(618) 235-0900

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1245226703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264725",
            "telephone_number": "618-235-2400",
            "fax_number": "618-235-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264725",
            "telephone_number": "618-235-2400",
            "fax_number": "618-235-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZEWCZYK",
        "first_name": "PAUL",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036070355",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R1P82",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08215191",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180007717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jewel Sutterer
• Tori Renee Sutton, PA
• Nicholas D Swanson, DMD
• Christopher Neil Sweigart, D.O.
• Jennifer Diana Szalkowski, MD
• Bernard Szopa, M.D.
• Janis Taake, RD, LD
• James Christopher Tanner, MD
• Anthony David Tarr, FNP-C
• Lillie Tate

• Ophthalmology Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.