Individual provider Active NPI

Robert G Swanton, MD

  • Radiation Oncology Physician
  • Slidell, LA
National Provider Identifier
1144285396
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
022148 Issued in LA
Practice address
1120 Robert Blvd Suite 100
Slidell, LA 70458
Phone
(985) 280-8688
Fax
(985) 280-6642
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 022148 LA Primary

Addresses

Primary practice location

1120 Robert Blvd Suite 100
Slidell, LA 70458

Mailing address

1120 Robert Blvd Suite 100
Slidell, LA 70458-2939
Phone (985) 280-8688

Other identifiers 1

IdentifierTypeStateIssuer
1555185MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220324000801 MS Practitioner - Radiation Oncology 0941108880 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022148LAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Dec 22, 2021 Accepting new patients
East Jefferson Radiation Oncology, LLC Radiation Oncology Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
Jefferson Radiation Oncology, LLC Radiation Oncology Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
West Jefferson Radiation Oncology,LLC Radiation Oncology Past Accepting new patients

Locations

1340 Broad Ave
Ste 140
Gulfport, MS 39501
Phone (228) 575-2950

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: rswanton@direct.mhg.com

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1144285396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD SUITE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-280-8688",
            "fax_number": "985-280-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD SUITE 100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-280-8688",
            "fax_number": "985-280-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANTON",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "022148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555185",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.