Jeffrey Allen Swetnam, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E-9062 Issued in AR

Practice address

3623 Johnson Mill Blvd Ste 203
Springdale, AR 72762-6413

Phone

(479) 966-4174

Fax

(479) 301-5334

NPI assigned

Dec 1, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Missouri, Kansas City, School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Swetnam Cosmetic Surgery, PLLC

  • Clinic/Center
  • Fayetteville, AR
  • NPI 1477033728
  Medicare reassignment NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1326022534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 JOHNSON MILL BLVD STE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626413",
            "telephone_number": "479-966-4174",
            "fax_number": "479-301-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 JOHNSON MILL BLVD STE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626413",
            "telephone_number": "479-966-4174",
            "fax_number": "479-301-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWETNAM",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25365",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-9062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462050T",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200218280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Kristin Sutton, APRN
• Michele Sutton
• Collin T Swafford, DO
• Charles Edward Swain II, CIT
• Christian Thomas Sweeney, MHPP
• Benjamin Swysgood
• Ryan Edward Sylvester, LPC, NCC, CCMHC
• Kristina Ta
• Grace E Tandoh, MHPP
• Pierrette Larisse Laure Tantchou, M.D.

• Surgery Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.