Stephen M. Swan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0001917 Issued in CO

Practice address

1100 Balsam Ave
Boulder, CO 80304-3404

Phone

(303) 440-2037

Fax

(303) 306-7753

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Stephen M. Swan Professional name

Medicare fee-for-service enrollment

Enrolled in CO, KS2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goodland Regional Medical CenterGroup PAC ID 3375535263, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Goodland Regional Medical Center Hospital, Goodland, KS, CCN 171370
• Goodland Regional Medical Center Nursing home, CCN 17Z370

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.swan.1@17074.direct.athenahealth.com
• Direct secure messaging: stephen.swan.1@13372.direct.athenahealth.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.

• Goodland Regional Medical Center

  • Critical Access Hospital
  • Goodland, KS
  • NPI 1598839045
  Medicare reassignment Care Compare group NPD
• Goodland Regional Medical Center

  • Critical Access Hospital Clinic/Center
  • Goodland, KS
  • NPI 1447392451
  Medicare reassignment NPD (past)
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Boulder, CO
  • NPI 1659354637
  Medicare reassignment
• Boulder Emergency Physicians PC

  • Emergency Medicine Physician
  • Lafayette, CO
  • NPI 1407454317
  NPD
• Goodland Regional Medical Center

  • Family Medicine Physician
  • Goodland, KS
  • NPI 1467594366
  NPD
• Goodland Regional Medical Center

  • Home Health Agency
  • Goodland, KS
  • NPI 1992164099
  NPD
• Apex Emergency Group, Inc

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1740231356
  NPD (past)

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

• Goodland Regional Medical Center

  • Critical Access Hospital
  • Goodland, KS
  • NPI 1598839045
  Care Compare affiliation
• Goodland Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Goodland, KS
  • NPI 1730254673

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1326012618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173894",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802173894",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BALSAM AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043404",
            "telephone_number": "303-440-2037",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "PAL 1917",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0001917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7555344",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "SWAN",
            "middle_name": "M.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey T. Swail, M. D.
• Kimberley Swalec, PHARMD
• Paige E Swales, ARNP,CNM
• Swan Lake Chiropractic Health
• Nora Swan-Foster, MA, ATR-BC, LPC
• Nicholas G Swann
• Malia G Swanson, MD
• Tahnee Swanton, MA, LPCC
• Mark Swart, MA
• Mary Rob Swayze, DPT

• Physician Assistant in Boulder, CO
• Providers in Boulder, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.