Active NPI
Tracie Denise Swayden, MD
- Dermatopathology Physician
- Hurst, TX
National Provider Identifier
1093865545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- L8526
- Practice address
- 804 NE Mall Blvd
Hurst, TX 76053-4653 - Phone
- (817) 595-4500
- Fax
- (817) 595-4505
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | L8526 | TX | Primary |
Addresses
Primary practice location
804 NE Mall Blvd
Hurst, TX 76053-4653
Mailing address
804 NE Mall Blvd
Hurst, TX 76053-4653
Phone (817) 595-4500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070515000569 | TX | Practitioner - Dermatology | 6800993486 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Texas Medical School at San Antonio, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skin MD PA
Practice addresses (Care Compare)
750 Eureka St
Suite a
Weatherford, TX 76086-6521
Phone (817) 550-6073
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 318 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 104 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin MD PA | Current | Accepting new patients | |
| Americare Medical Group, Inc. | Past | Accepting new patients |
Locations
206 Elm St
Aledo, TX 76008
600 S Harbor Ct
Granbury, TX 76048
Phone (817) 326-3134
750 Eureka St
Ste A
Weatherford, TX 76086
Phone (817) 405-2689
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Addison, TX
- NPI 1578935953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1093865545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 NE MALL BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760534653",
"telephone_number": "817-595-4500",
"fax_number": "817-595-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 NE MALL BLVD",
"city": "HURST",
"state": "TX",
"postal_code": "760534653",
"telephone_number": "817-595-4500",
"fax_number": "817-595-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYDEN",
"first_name": "TRACIE",
"middle_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TX",
"license": "L8526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.