Audrey M Swank, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004824RX Issued in OH

Practice address

550 Trumbull Ave
Cortland, OH 44410-9403

Phone

(330) 637-2000

Fax

(330) 637-2001

NPI assigned

Nov 10, 2016

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 21, 2018 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aswank86576@direct.chmca.org

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.

• Akron Children's Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD
• Children's Hospital Medical Center of Akron

  dba Akron Children's Hospital-Physician Group

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  NPD (past)
• Cortland OBGYN Associates Inc

  dba Amine R. Abdul-Aal M.D.

  • Obstetrics & Gynecology Physician
  • Warren, OH
  • NPI 1861587321
  NPD (past)
• Lynn M. Johnson MD, PLLC

  • Pediatrics Physician
  • Cortland, OH
  • NPI 1568613099
  NPD (past)

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1093257867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TRUMBULL AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109403",
            "telephone_number": "330-637-2000",
            "fax_number": "330-637-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TRUMBULL AVE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109403",
            "telephone_number": "330-637-2000",
            "fax_number": "330-637-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANK",
        "first_name": "AUDREY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004824RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "PENDING",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Stewart, LMT
• Amber Lyn Stiles-Bodnar, MSED, LPCC, LCDC III
• Kristin Stovall, RDN
• Rachel Street, PHARMD
• Elizabeth Catherine Sutliff, APRN, CNP
• Lynn Swonger
• The Pelvic Place LLC
• Thi of Ohio at Cortland LLC (Cortland Healthcare Center)
• Michelle L Thomas, REGISTERED NURSE
• Peter Michael Thomas, DC ATC

• Physician Assistant in Cortland, OH
• Providers in Cortland, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.