Organization Active NPI

Charles H McSwain DO PC

Doing business as McSwain Family Medical

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1164753851
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
683 Issued in NV
Legal business name
CHARLES H MCSWAIN DO PC
Doing business as
McSwain Family Medical
Practice address
801 S Rancho Dr
Suite F-1
Las Vegas, NV 89106-3854
Phone
(702) 419-7529
Fax
(702) 538-8151
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Dr. Charles Henry McSwain, DO
Title
Owner
Phone
(702) 419-7529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 683 NV Primary

Addresses

Primary practice location

801 S Rancho Dr
Suite F-1
Las Vegas, NV 89106-3854

Mailing address

P. O. Box 777923
Las Vegas, NV 89077
Phone (702) 419-7529

Other identifiers 1

IdentifierTypeStateIssuer
2002837MedicaidNV

Other names 1

  • MCSWAIN FAMILY MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

801 S Rancho Dr
Ste F1
Las Vegas, NV 89106
Phone (702) 474-4454

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1164753851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 777923",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89077",
            "telephone_number": "702-419-7529",
            "fax_number": "702-538-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S RANCHO DR",
            "address_2": "SUITE F-1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063854",
            "telephone_number": "702-419-7529",
            "fax_number": "702-538-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H MCSWAIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "MCSWAIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-419-7529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002837",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCSWAIN FAMILY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.