Individual provider Active NPI

Matthew Joseph Swan, M.D.

  • Anesthesiology Physician
  • Lexington, KY
National Provider Identifier
1154569143
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R1539 Issued in KY
Practice address
800 Rose St
Chandler Medical Center
Lexington, KY 40536-0001
Phone
(859) 323-5956
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R1539 KY Primary

Addresses

Primary practice location

800 Rose St
Chandler Medical Center
Lexington, KY 40536-0001

Mailing address

800 Rose St
Chandler Medical Center
Lexington, KY 40536-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20090916000264 WY Practitioner - Anesthesiology 3678629664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swan Anesthesiology PCGroup PAC ID 4486700473, 2 clinicians

Practice addresses (Care Compare)

4140 Centennial Hills Blvd
Casper, WY 82609-3265
Phone (307) 472-8780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1539KYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swan Anesthesiology PC Anesthesiology CurrentSince Aug 24, 2009 Accepting new patients
David a Baxter IV, MD, PC Anesthesiology Past Accepting new patients

Locations

4140 Centennial Hills Blvd
Casper, WY 82609
Phone (307) 472-8780

Interoperability endpoints

  • Direct secure messaging: mswan@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1154569143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "CHANDLER MEDICAL CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "CHANDLER MEDICAL CENTER",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "R1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.