Donald R Swartz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042-0003361 Issued in VT

Practice address

93 Pilgrim Park Rd
Suite 6
Waterbury, VT 05676-1727

Phone

(802) 241-2499

NPI assigned

Mar 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1205178175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 IMPERIAL DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037825",
            "telephone_number": "802-864-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PILGRIM PARK RD",
            "address_2": "SUITE 6",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761727",
            "telephone_number": "802-241-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0003361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006059",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Vermont - Department for Children & Families
• State of Vermont Disability Determination Services
• Navah S Stein
• Jeanne D Stern, MS CCC-SLP
• Thomas Albin Sturm, R.PH.
• Nicole Ryann Tessier, MSW, LICSW
• The Squier House, Inc.
• Kathryn Theisen
• Raymond Joseph Vanvoorhis, D.C.
• Vasta PT Waterbury LLC

• Pediatrics Physician in Waterbury, VT
• Providers in Waterbury, VT by specialty
• Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.