Stephen L Dygert (NPI# 1508844929, PAC ID# 8325015753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1508844929 |
PAC ID by PECOS | 8325015753 |
Professional Enrollment ID | I20110322000714 |
Full Name | Stephen L Dygert |
Address |
25 Evergreen St Afton NY 13730-2129 |
Phone Number | 6076392701 |
Gender | M |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1966 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330011 | LOURDES HOSPITAL |
330033 | CHENANGO MEMORIAL HOSPITAL, INC |
330394 | UNITED HEALTH SERVICES HOSPITALS, INC |
Address | Phone | Organization |
---|---|---|
25 Evergreen St, Afton, NY 13730-2129 | 6076392701 |
Street Address |
25 EVERGREEN ST |
City | AFTON |
State | NY |
Zip | 13730-2129 |
City | AFTON |
Zip Code | 13730 |
Specialty | FAMILY MEDICINE |
City + Specialty | AFTON + FAMILY MEDICINE |
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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.