Active NPI
Ben W. Swink, D.O.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 115255
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208746800 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115255 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Cherokee Indian Hospital Authority | Current | 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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
-
- Methadone Clinic
- Cherokee, NC
- NPI 1295336386
-
- Mental Illness Community Based Residential Treatment Facility
- Robbinsville, NC
- NPI 1629599717
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Community Based Hospice Care Agency
- Park Hills, MO
- NPI 1053316091
Family Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.