DRS Szewczyk & Nekola LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036092365 Issued in IL

Legal business name

DRS SZEWCZYK & NEKOLA LLC

Practice address

4900 West Main Street
Belleville, IL 62226-4725

Phone

(618) 235-2400

Fax

(618) 235-0900

NPI assigned

Apr 12, 2007

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Szewczyk, MDNPI 1245226703

Title

Partner

Phone

(618) 235-2400

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Szewczyk Szewczyk Nekola MD Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Stanley Szewczyk, MD

  • Ophthalmology Physician
  • Belleville, IL
  • NPI 1245226703
  Authorized official Same address or phone

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1336363431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WEST MAIN STREET",
            "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 WEST MAIN STREET",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622264725",
            "telephone_number": "618-235-2400",
            "fax_number": "618-235-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS SZEWCZYK & NEKOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "SZEWCZYK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-235-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036092365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "P00762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08215191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN NUMBER",
            "identifier": "G55037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "L59429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB0524",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070355",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036031388",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092365",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "P00761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Szewczyk Szewczyk Nekola MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dr. S. a. Brooks, DPM
• Gerald Ray Dragich, D.M.D.
• Gary Edward Drake, DDS
• Rachel Anne Dressler, LPC
• Mark J Droege, EDUCATOR
• DRS. Becherer, Becherer & Associates, LTD
• Altressa D Drummond, MD
• Hongkai Kevin Du, M.D.
• Christopher Sean Dugan, DPM
• Duk C Kim MD LTD

• 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 Jan 10, 2012; 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.