Michael T. Swinyard, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

292580-1205 Issued in UT

Practice address

1258 W South Jordan Pkwy Ste 103
South Jordan, UT 84095-4712

Phone

(801) 838-9090

Fax

(801) 838-9092

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Mountain Vista Medicine

  • Pediatric Endocrinology Physician
  • South Jordan, UT
  • NPI 1609123512
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1245222819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 W S JORDAN PKWY STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954712",
            "telephone_number": "801-838-9090",
            "fax_number": "801-838-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W SOUTH JORDAN PKWY STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954712",
            "telephone_number": "801-838-9090",
            "fax_number": "801-838-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINYARD",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "UT",
            "license": "292580-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick K Surratt, CM, CPSS
• Carlyle Derek Swain, O.D.
• Brandi Sweet, LCSW
• Shae Swensen
• Kirsten Michelle Swift, BCBA
• Ric L Sykes, RPH
• Connie Marie Syropoulos, NP-C
• Nicholas Takis, DC
• Kristina Lynne Talbert, PSY. D.
• Andrea Talbot, RD

• Pediatric Endocrinology Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Pediatric Endocrinology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.