Jack Swanzy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E8952 Issued in TX

Practice address

3600 Memorial Blvd
Kerrville, TX 78028-5768

Phone

(830) 896-2020

Fax

(830) 792-2447

NPI assigned

Aug 29, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265540231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W WALCH AVE",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244041",
            "telephone_number": "830-997-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MEMORIAL BLVD",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285768",
            "telephone_number": "830-896-2020",
            "fax_number": "830-792-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANZY",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumrall Chiropractic Inc
• Zachary Thoomas Sumrall, D.C.
• Yu Sun, DO
• Surgical Associates of Kerrville
• Bernadine Eleanor Swanzy, LMSW
• Marcie Joyce Sweat, FNP-BC
• SXSW Medical
• Sylvester G Ramirez MD PLLC
• Julie Ann Taliaferro, FNP
• Pamela Sue Tanner, APN

• Internal Medicine Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.