Active NPI
Phillip Van Swearingen, M.D.
- Gastroenterology Physician
- Morgantown, WV
National Provider Identifier
1285717405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 13839
- Practice address
- 200 Wedgewood Dr
Suite 202
Morgantown, WV 26505-2442 - Phone
- (304) 599-1448
- Fax
- (304) 599-5335
- NPI assigned
- Oct 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 13839 | WV | Primary |
Addresses
Primary practice location
200 Wedgewood Dr
Suite 202
Morgantown, WV 26505-2442
Mailing address
200 Wedgewood Dr
Suite 202
Morgantown, WV 26505-2442
Phone (304) 599-1448
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV13839 | Other | HEALTHPLAN UPPER OHIO VAL | |
| 100007159 | Other | RAILROAD MEDICARE | |
| 134309 | Other | UNISON | |
| 000122409 | Other | BLUE CROSS BLUE SHIELD | |
| 0088634000 | Medicaid | WV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285717405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEDGEWOOD DR",
"address_2": "SUITE 202",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052442",
"telephone_number": "304-599-1448",
"fax_number": "304-599-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEDGEWOOD DR",
"address_2": "SUITE 202",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052442",
"telephone_number": "304-599-1448",
"fax_number": "304-599-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEARINGEN",
"first_name": "PHILLIP",
"middle_name": "VAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "13839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLAN UPPER OHIO VAL",
"identifier": "WV13839",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100007159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "134309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000122409",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088634000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.