Douglas R Swinehart M D Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G415040 Issued in CA

Legal business name

DOUGLAS R SWINEHART M D PROFESSIONAL CORPORATION

Practice address

6335 N Fresno St
Suite 201
Fresno, CA 93710-5272

Phone

(559) 432-1212

Fax

(559) 432-6669

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Douglas R. Swinehart, M.D.

Title

President

Phone

(559) 432-1212

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kent Saunders, M.D.

  • Dermatology Physician
  • Fresno, CA
  • NPI 1881844116
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1063538601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 N FRESNO ST",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105272",
            "telephone_number": "559-432-1212",
            "fax_number": "559-432-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 N FRESNO ST",
            "address_2": "SUITE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105272",
            "telephone_number": "559-432-1212",
            "fax_number": "559-432-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS R SWINEHART M D PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SWINEHART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-1212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G415040",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G415040",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G415040",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ05982Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Doty
• Kimberly Ann Dougherty, PHD
• Simon Francis Dougherty, PA-C
• Douglas O. Charters
• Douglas R Halloran DDS Inc
• Douglas S. Stanley, M.D., Inc.
• Shalila Anne Douglas, PH.D
• Kimberly Douglass
• Sophia A Doukas
• Sudhakar Doule, B.PHARM

• Dermatology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.