Active NPI
Swami Nathan, MD
- Neurological Surgery Physician
- Frederick, MD
National Provider Identifier
1255400180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- D18414
- Practice address
- 198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702 - Phone
- (301) 694-5344
- NPI assigned
- Nov 7, 2006
- Last updated
- Aug 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | D18414 | MD | Primary |
| Neurological Surgery Physician | 207T00000X | 14510 | WV |
Addresses
Primary practice location
198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702
Mailing address
198 Thomas Johnson Dr
Suite 207
Frederick, MD 21702
Phone (301) 694-5344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089641000 | Medicaid | WV | |
| 793781400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D18414 | MD | MD | Neurological Surgery Physician |
| 14510 | WV | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Frederick, MD
- NPI 1780724658
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1255400180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 207",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21702",
"telephone_number": "301-694-5344",
"fax_number": "301-694-5125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 THOMAS JOHNSON DR",
"address_2": "SUITE 207",
"city": "FREDERICK",
"state": "MD",
"postal_code": "21702",
"telephone_number": "301-694-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "SWAMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MD",
"license": "D18414",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "WV",
"license": "14510",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089641000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "793781400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
- Prasad M Nataraj, MD
- Nathan Wei MD PA
- Nathan Wei, MD, PA
- Padmini Nathan, O.D.
- Radha Nathan, M.D.
- National Rehabilitation Hospital, Inc (MedStar Health Physical Therapy at Frederick)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Christa Natke, EDS
- Ashley Naugler, ADULT-CRNP
- Brittany Naumann, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.