Jeffrey T. Swail, M. D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

34276 Issued in CO

Practice address

2575 Pearl St.
Suite 300
Boulder, CO 80302

Phone

(303) 449-6666

Fax

(303) 449-7023

NPI assigned

Oct 20, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Boulder Valley Plastic Surgery Inc.

  • Plastic Surgery Physician
  • Boulder, CO
  • NPI 1730261462
  Authorized official Same address or phone

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1245312982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST.",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-449-6666",
            "fax_number": "303-449-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 PEARL ST.",
            "address_2": "SUITE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-449-6666",
            "fax_number": "303-449-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIL",
        "first_name": "JEFFREY",
        "middle_name": "T.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "34276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01342765",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C AND B/S PROVIDER ID",
            "identifier": "SW88401",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Sutcliffe
• Philip D Sutton, PH.D.
• Tiara Sutton
• Suzanne Sundheim MD Professional LLC
• Shawna Suzyn
• Kimberley Swalec, PHARMD
• Paige E Swales, ARNP,CNM
• Swan Lake Chiropractic Health
• Nora Swan-Foster, MA, ATR-BC, LPC
• Stephen M. Swan

• Plastic Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.