Organization Active NPI

Shanon G Schwimmer MD PA

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1043646730
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L0577 Issued in TX
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

Updated by the provider on Sep 25, 2013

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.