NPIMap

Individual provider Active NPI

Nathan A Swain, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Flagstaff, AZ
National Provider Identifier
1306167531
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
008939 Issued in AZ
Practice address
525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone
(928) 773-2280
Fax
(928) 773-2281
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PG151473 OR
Physical Medicine & Rehabilitation Physician 208100000X 008939 AZ Primary

Addresses

Primary practice location

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845

Mailing address

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone (928) 773-2280

Other practice location 1

2331 Hualapai Mountain Rd Ste A
Kingman, AZ 86401-6207
Phone (928) 773-2280

Other identifiers 1

IdentifierTypeStateIssuer
092836MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150911001332 CA Practitioner - Osteopathic Manipulative Medicine 0042533515 Reassigns benefits to 1 organization
I20210805003270 AZ Practitioner - Osteopathic Manipulative Medicine 0042533515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagstaff Center for Bone and Joint DisordersGroup PAC ID 3072411180, 28 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2331 Hualapai Mountain Rd
Suite a
Kingman, AZ 86401-6207
Phone (928) 692-9668

2585 Miracle Mile
Bullhead City, AZ 86442-7522

480 S Willard St
Cottonwood, AZ 86326-4128
Phone (928) 773-2280

525 N Switzer Canyon Dr
Flagstaff, AZ 86001-4845
Phone (928) 773-2280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
PG151473ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Jul 20, 2015 Accepting new patients
Flagstaff Center for Bone and Joint Disorders CurrentSince Jul 31, 2021 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jul 20, 2015 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients

Locations

480 S Willard St
Cottonwood, AZ 86326
Phone (928) 649-9726

525 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 773-2280

77 W Forest Ave
Ste 301
Flagstaff, AZ 86001
Phone (928) 635-7307

501 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 440-4610

2331 Hualapai Mountain Rd
Ste A
Kingman, AZ 86401
Phone (928) 529-5086

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: nathan.swain.1@15940.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1306167531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014845",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SWITZER CANYON DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014845",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2331 Hualapai Mountain Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864016207",
            "country_code": "US",
            "telephone_number": "928-773-2280",
            "fax_number": "928-773-2281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "NATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "PG151473",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "008939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092836",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.