Individual provider Active NPI

Ben W. Swink, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1104958719
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
115255 Issued in MO
Practice address
8710 Manchester Rd
Saint Louis, MO 63144
Phone
(314) 961-3570
Fax
(314) 961-6450
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 115255 MO Primary

Addresses

Primary practice location

8710 Manchester Rd
Saint Louis, MO 63144

Mailing address

8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 961-3570

Other practice location 1

5270 Flat River Dr
Mac/NCC
Park Hills, MO 63601-2224
Phone (573) 431-0162

Other practice location 2

5270 Flat River Dr
Mac/NCC
Park Hills, MO 63601-2224
Phone (573) 431-0162

Other identifiers 1

IdentifierTypeStateIssuer
208746800MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050819000305 MO Practitioner - Family Practice 2567492481 Reassigns benefits to 2 organizations
I20181220000245 TX Practitioner - Family Practice 2567492481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115255MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Sep 1, 2018 Accepting new patients
Signify Health, LLC CurrentSince Sep 20, 2023 Accepting new patients
Vpa PC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Sep 1, 2018 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
Serenity Hospicecare Family Medicine Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1104958719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442724",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63144",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5270 Flat River Dr",
            "address_2": "MAC/NCC",
            "address_purpose": "LOCATION",
            "city": "Park Hills",
            "state": "MO",
            "postal_code": "636012224",
            "country_code": "US",
            "telephone_number": "573-431-0162",
            "fax_number": "573-431-6304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5270 Flat River Dr",
            "address_2": "MAC/NCC",
            "address_purpose": "LOCATION",
            "city": "Park Hills",
            "state": "MO",
            "postal_code": "636012224",
            "country_code": "US",
            "telephone_number": "573-431-0162",
            "fax_number": "573-431-6304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINK",
        "first_name": "BEN",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208746800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.