Kellee R. Swider, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200763 Issued in LA

Practice address

4513 Westbank Expressway
Marrero, LA 70072-3147

Phone

(504) 349-6360

Fax

(504) 349-6363

NPI assigned

Feb 3, 2015

Sex

Female

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

Enrolled in LA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kellee.swider@marybird.ikm.direct-ci.com

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.

• New Orleans Physician Services Inc

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1396169678
  Medicare reassignment
• Northshore Oncology Associates, LLC

  • Hematology & Oncology Physician
  • Covington, LA
  • NPI 1043518236
  Medicare reassignment
• Northshore Oncology Associates, LLC

  • Hematology & Oncology Physician
  • Covington, LA
  • NPI 1669821864
  NPD

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1265822878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 WESTBANK EXPRESSWAY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-6360",
            "fax_number": "504-349-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 WESTBANK EXPRESSWAY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-6360",
            "fax_number": "504-349-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDER",
        "first_name": "KELLEE",
        "middle_name": "R.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Medicine Group LLC (Westbank Medical & Walk-in Clinic)
• Surgical Clinic of Louisiana LLC
• Surgical Specialty Associates LLC (Doctors Same Day Surgery Center LLC)
• Myliah O Surratt
• Jesse Dean Sutton, L.C.S.W.
• Angel Haley Sylve, DDS
• Lindsey Marie Sylve, REGISTERED NURSE
• Nicole Sylvester, MSW
• T.Johnson & Associates, LLC
• Eden Yumena Tablan, NURSE PRACTITIONER

• Physician Assistant in Marrero, LA
• Providers in Marrero, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.