NPIMap

Individual provider Active NPI

Andrew G Swentik, MD

  • Orthopaedic Surgery Physician
  • Marquette, MI
National Provider Identifier
1205191285
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301117513 Issued in MI
Practice address
1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone
(906) 225-1321
Fax
(906) 228-9371
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2012020349 MO
Orthopaedic Surgery Physician 207X00000X 4301117513 MI Primary

Addresses

Primary practice location

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406

Mailing address

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321

Other practice location 1

One Hospital Drive, DCO75.00, MC424
University of Missouri, Department of Surgery
Columbia, MO 65212
Phone (573) 884-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716001271 MI Practitioner - Orthopedic Surgery 6901154863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Human Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301117513MIMDOrthopaedic Surgery Physician
2012020349MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates of Marquette PC Orthopaedic Surgery CurrentSince Sep 1, 2019 Accepting new patients
Orthopaedic Surgery Associates of Marquette PC CurrentSince Sep 1, 2019 Accepting new patients
Upper Michigan Associates LLC Surgery PastSince May 10, 2020 Accepting new patients
South Shore Anesthesia Staffing PastSince Jul 27, 2020 Accepting new patients

Locations

1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321

1414 W Fair Ave
Ste 235
Marquette, MI 49855
Phone 9062732223103

Interoperability endpoints

  • Direct secure messaging: aswentik412378@hisp.ehr.sutterhealth.org
  • Direct secure messaging: aswentik@acops1752.srs-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1205191285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Hospital Drive, DCO75.00, MC424",
            "address_2": "University of Missouri, Department of Surgery",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "65212",
            "country_code": "US",
            "telephone_number": "573-884-2000",
            "fax_number": "573-884-6024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENTIK",
        "first_name": "ANDREW",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2012020349",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301117513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.