Individual provider Active NPI

William Burnice Swann Jr., DO

  • Internal Medicine Physician
  • Emmitsburg, MD
National Provider Identifier
1053347294
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H37188 Issued in MD
Practice address
121-123 West Main Street
Emmitsburg, MD 21727
Phone
(240) 409-3486
Fax
(240) 559-0949
NPI assigned
Jun 22, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H0037188 MD
Internal Medicine Physician 207R00000X H37188 MD Primary
General Practice Physician 208D00000X H37188 MD

Addresses

Primary practice location

121-123 West Main Street
Emmitsburg, MD 21727

Mailing address

2471 Merchant St Apt D213
Frederick, MD 21701-3541
Phone (240) 409-3486

Other practice location 1

2471 Merchant St Apt D213
Frederick, MD 21701-3541
Phone (240) 409-3486

Other identifiers 1

IdentifierTypeStateIssuer
621871700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001627 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022259993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mescalero Indian HospitalGroup PAC ID 9436056181, 13 clinicians

Practice addresses (Care Compare)

318 Abalone Loop
Mescalero, NM 88340-9213
Phone (575) 464-4441

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0037188MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic Current Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Feb 17, 2017 Accepting new patients
Thoreau Clinic CurrentSince Feb 17, 2017 Accepting new patients
Mescalero Indian Hospital CurrentSince Jun 23, 2025 Accepting new patients
Washington County Emergency Medicine Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1053347294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 MERCHANT ST APT D213",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013541",
            "telephone_number": "240-409-3486",
            "fax_number": "240-559-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121-123 WEST MAIN STREET",
            "city": "EMMITSBURG",
            "state": "MD",
            "postal_code": "21727",
            "telephone_number": "240-409-3486",
            "fax_number": "240-559-0949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2471 Merchant St Apt D213",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217013541",
            "country_code": "US",
            "telephone_number": "240-409-3486",
            "fax_number": "240-559-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANN",
        "first_name": "WILLIAM",
        "middle_name": "BURNICE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0037188",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H37188",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "H37188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621871700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmitsburg, MD

Sources for this page

Verify at the official NPI Registry.