Shanda C Swagler (NPI# 1750526810, PAC ID# 1850453226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750526810 |
| PAC ID by PECOS | 1850453226 |
| Professional Enrollment ID | I20081218000307 |
| Full Name | Shanda C Swagler |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Address |
100 W Main St Salem IL 62881-1500 |
| Phone Number | 6185483473 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2769479203 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141345 | SALEM TOWNSHIP HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| 140034 | SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA |
| Address | Phone | Organization |
|---|---|---|
| 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 | 6189423344 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| 100 W Main St, Salem, IL 62881-1500 | 6185483473 | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Organization Legal Name | SOUTHERN ILLINOIS DERMATOLOGY, PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie L Natyshok | Physician Assistant | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Christine R Watson | Physician Assistant | Southern Illinois Dermatology, PC | 9515 Holy Cross Ln, Breese, IL 62230-3618 |
| Alexis E Lorinskas | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Melody Hof | Physician Assistant | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Derek G Kenneaster | Dermatology | Southern Illinois Dermatology, PC | 108 N Emma St, West Frankfort, IL 62896-2443 |
| Misty D Hammond | Nurse Practitioner | Southern Illinois Dermatology, PC | 111 W Main St, Du Quoin, IL 62832-1614 |
| Ted G Van Acker | Dermatology | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Natalie D Spiller | Physician Assistant | Southern Illinois Dermatology, PC | 325 Spring St, Red Bud, IL 62278-1105 |
| Street Address |
100 W MAIN ST |
| City | SALEM |
| State | IL |
| Zip | 62881-1500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine K Burnside | Physician Assistant | West Virginia University Medical Corporation | 100 W Main St, Buckhannon, WV 26201-2292 |
| Mark J Tomsic | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Edward C Cardinal | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Kim Weber | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Oh Vlly Med Ctr, Springfield, OH 45502-1312 |
| Young R Park | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Kathryn L Robinson | Certified Nurse Midwife (cnm) | West Virginia University Medical Corporation | 100 W Main St, Buckhannon, WV 26201-2292 |
| Thales N Pavlatos | Anesthesiology | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Kyle Kirby | Certified Registered Nurse Anesthetist (crna) | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Robert Joseph Kress | Optometry | Myeyedr Optometry of West Virginia Pllc | 100 W Main St, Suite A, Buckhannon, WV 26201-2292 |
| Joseph P Mader | Anesthesiology Assistant | Mercy Anesthesiologists Inc | 100 W Main St, Springfield, OH 45502-1312 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Aristides Juan Garces | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Paul B Williams IIi | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Preecha Tawjareon | Diagnostic Radiology | 815 W Main St, Salem, IL 62881-1408 | |
| Doris A Els | Optometry | 121 N Broadway, Salem, IL 62881-1509 | |
| Michael Sebastian Spencer | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Alan D Montgomery | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Elizabeth J Wolff | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Jessie Crabtree | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Richard D Smith | Chiropractic | 322 W Schwartz St, Salem, IL 62881-1550 | |
| Find all physicians in zip 62881 | |||
| City | SALEM |
| Zip Code | 62881 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SALEM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shanda C Swagler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.