Kirk Paul Swabash, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101008685 Issued in MI

Practice address

5739 Highway M-68
Indian River, MI 49749-9998

Phone

(608) 821-7200

NPI assigned

May 11, 2006

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

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

Other names 1

• Dr. Kirk Paul Swabash Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Saginaw Vamc

  • VA Clinic/Center
  • Indian River, MI
  • NPI 1326329962
  NPD
• Little Traverse Psychiatric Associates, PC

  • Psychiatry Physician
  • Petoskey, MI
  • NPI 1992857338
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1124078977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-497-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 HIGHWAY M-68",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499998",
            "telephone_number": "608-821-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWABASH",
        "first_name": "KIRK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101008685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "260B410160",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4088017",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRK",
            "last_name": "SWABASH",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Lynn Samu Shouldice, OD
• Jennifer Schoolcraft, LMSW, LCSW
• Kathryn A Snow-McCaffrey, APRN MSN GNP
• Alisha Stapor, LPC, NCC, LLMFT
• Sarah Ellen Stearns, NP
• Thunder Bay Community Health Service, Inc (Inland Lakes Secondary School)
• Thunder Bay Community Health Service, Inc (Inland Lakes Elementary School)
• Jessica Jean Trudeau, LLMSW
• Sharon Vadovic, RPH
• Benjamin Vanos, DO

• Psychiatry Physician in Indian River, MI
• Providers in Indian River, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.