Active NPI
Suzanne Swietnicki, M.D.
- Obstetrics & Gynecology Physician
- Vancouver, WA
National Provider Identifier
1265404784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD60244750
- Practice address
- 505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965 - Phone
- (360) 514-1060
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 10554 | MT | |
| Obstetrics & Gynecology Physician | 207V00000X | MD60244750 | WA | Primary |
Addresses
Primary practice location
505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 262-1302
Other practice location 1
20 13th St W
Havre, MT 59501-5215
Phone (406) 265-7831
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000096995 | Other | MT | BLUE CROSS BLUE SHIELD |
| 1265404784 | Medicaid | MT | |
| P00324537 | Other | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sswietnicki@peacehealth.org |
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 |
|---|---|---|---|
| 10554 | MT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Seattle Nuclear Medicine-Ultrasound Associates | Past | Accepting new patients |
Interoperability endpoints
- sswietnicki50250@direct.peacehealth.org
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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Seattle, WA
- NPI 1265506349
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1265404784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011231",
"telephone_number": "406-262-1302",
"fax_number": "406-265-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 160",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641965",
"telephone_number": "360-514-1060"
}
],
"practiceLocations": [
{
"address_1": "20 13th St W",
"address_purpose": "LOCATION",
"city": "Havre",
"state": "MT",
"postal_code": "595015215",
"country_code": "US",
"telephone_number": "406-265-7831",
"fax_number": "406-265-1651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWIETNICKI",
"first_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "10554",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60244750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000096995",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265404784",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00324537",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sswietnicki@peacehealth.org",
"affiliation": "N",
"address_1": "505 NE 87th Ave Ste 160",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986641965",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.