Swfac PLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SWFAC PLC

Practice address

502 E Reed St
Red Oak, IA 51566-2350

Phone

(712) 623-5178

NPI assigned

Aug 31, 2006

Last updated

Mar 18, 2010By 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

Andrew C Stanislav, DPM

Title

Owner

Phone

(712) 623-5178

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1013029081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E REED ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662350",
            "telephone_number": "712-623-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E REED ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662350",
            "telephone_number": "712-623-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWFAC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "STANISLAV",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-623-5178",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429761",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail E Shipp, DIP CBE(CBI), CBD
• James Simmons, COTA
• Joan K Smith, ARNP
• Dale Eugene Stogdill Jr., ARNP-C
• Jason David Swain, TLMHC, PLMHP
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Red Oak)
• Jennifer Marie Thomason, TRADITIONAL MIDWIFE
• Ashley Tingle
• John Richard Trinity, MD
• Kimberly Marie Truka, DDS

• Podiatrist in Red Oak, IA
• Providers in Red Oak, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.