Swetang Patel, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006-00567 Issued in NC

Legal business name

SWETANG PATEL, MD, PA

Practice address

2587 Henderson Dr
Jacksonville, NC 28546-5253

Phone

(910) 938-3200

Fax

(910) 938-3043

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Swetang M Patel, MDNPI 1164436606

Title

Owner

Phone

(910) 938-3200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHHECA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swetang M Patel, MD

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1164436606
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Ambrose, P.A.

  • Physician Assistant
  • Jacksonville, NC
  • NPI 1710365135
  Medicare reassignment Care Compare group
• Stephanie Trent Ballard, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Jacksonville, NC
  • NPI 1083037691
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1235143231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-938-3200",
            "fax_number": "910-938-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465253",
            "telephone_number": "910-938-3200",
            "fax_number": "910-938-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWETANG PATEL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SWETANG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-938-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-00567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "142J3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashtin Swaim, DPT
• Jacqueline Swain
• Katrina S Swartz, PAC
• Sweet Waters Homecare, LLC
• Amanda Sweet, PA-C
• Lauren Nicole Cherie Swinson, LCSW, LCAS
• Synergy Physical Therapy & Sports Medicine LLC
• John Synowsky
• Alan Szczesniewski, D.O.
• Meghan Szynkowski, PTA

• Family Medicine Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.