Active NPI
Shanon G Schwimmer MD PA
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1043646730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- L0577
- Legal business name
- SHANON G SCHWIMMER MD PA
- Practice address
- 3535 Travis St
Suite 210
Dallas, TX 75204-1465 - Phone
- (214) 522-0210
- Fax
- (214) 522-0474
- NPI assigned
- Sep 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanon Gervaise Schwimmer, MD
- Title
- President
- Phone
- (214) 522-0210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | L0577 | TX | Primary |
Addresses
Primary practice location
3535 Travis St
Suite 210
Dallas, TX 75204-1465
Mailing address
PO Box 141023
Dallas, TX 75214-1023
Phone (214) 522-0210
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380067200000",
"number": "1043646730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141023",
"city": "DALLAS",
"state": "TX",
"postal_code": "752141023",
"telephone_number": "214-522-0210",
"fax_number": "214-522-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 TRAVIS ST",
"address_2": "SUITE 210",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041465",
"telephone_number": "214-522-0210",
"fax_number": "214-522-0474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANON G SCHWIMMER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A",
"authorized_official_last_name": "SCHWIMMER",
"authorized_official_first_name": "SHANON",
"authorized_official_middle_name": "GERVAISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-522-0210",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": "L0577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.