Rathna Raju-Swami, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6864A Issued in WY

Practice address

155 East Pearl Street
Suite 12
Jackson, WY 83002

Phone

(307) 733-2350

Fax

(307) 733-2953

NPI assigned

May 12, 2006

Last updated

May 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jackson Hole Medical Clinic, LLC

  dba Allergy & Asthma Clinic of Jackson Hole

  • Allergy Physician
  • Jackson, WY
  • NPI 1699817668
  NPD (past)
• Pegasus Emergency Group Wyoming LLC

  • Emergency Medicine Physician
  • Rock Springs, WY
  • NPI 1124328927
  NPD (past)
• Urgent Care of Jackson Hole, LLC

  • Urgent Care Clinic/Center
  • Jackson, WY
  • NPI 1104032416
  NPD (past)
• Northwest Emergency Physicians LLC

  dba Nep

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1215988514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 EAST PEARL STREET",
            "address_2": "PO BOX 9696",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "307-733-2350",
            "fax_number": "307-733-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 EAST PEARL STREET",
            "address_2": "SUITE 12",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83002",
            "telephone_number": "307-733-2350",
            "fax_number": "307-733-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU-SWAMI",
        "first_name": "RATHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "6864A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120550100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason D Provus, MD
• Ivy Pruss
• Carrie Ross Quinlan, FNP-C
• Joseph W. Raboin, CRNA
• Aimee M Racette, CRNA
• William John Ramsay III, M.D.
• Christopher Andrew Ramsey, M.D.
• James William Raniolo, D.O.
• Rebecca Cloetta DDS PC
• Jennifer Reid, PLCSW

• Emergency Medicine Physician in Jackson, WY
• Providers in Jackson, WY by specialty
• Emergency Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.