Dr. T. M. Swinger & Dr. D. V. McKillip

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

T02167 Issued in MO

Legal business name

DR. T. M. SWINGER & DR. D. V. MCKILLIP

Practice address

219 King Ave
Portageville, MO 63873-1438

Phone

(573) 379-5235

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

Vickie L Hurley

Title

Office Manager

Phone

(573) 333-1860

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• T M Swinger & D V McKillip, PTR

  • Optometrist
  • Kennett, MO
  • NPI 1477737815

  O20040624000769

  Same enrollment
• T M Swinger & D V McKillip, PTR

  • Optometrist
  • Caruthersville, MO
  • NPI 1831387372

  O20040624000769

  Same enrollment

Locations

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1265619522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638730297",
            "telephone_number": "573-379-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 KING AVE",
            "city": "PORTAGEVILLE",
            "state": "MO",
            "postal_code": "638731438",
            "telephone_number": "573-379-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. T. M. SWINGER & DR. D. V. MCKILLIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-333-1860"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MO",
            "license": "T02167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Portageville, MO
• Providers in Portageville, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.