Individual provider Active NPI

Michael Swartz, PA

  • Medical Physician Assistant
  • Grants Pass, OR
National Provider Identifier
1306844238
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00830 Issued in OR
Practice address
702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Phone
(541) 472-0603
Fax
(541) 472-0609
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00830 OR Primary

Addresses

Primary practice location

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859

Mailing address

702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Phone (541) 472-0603

Other practice location 1

520 Ramsey Ave Ste 102
Grants Pass, OR 97527-5573
Phone (541) 472-0603

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
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1306844238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275859",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE STE 112",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275859",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Ramsey Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975275573",
            "country_code": "US",
            "telephone_number": "541-472-0603",
            "fax_number": "541-472-0609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.