Individual provider Active NPI

John Barnett Swofford, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Indianapolis, IN
National Provider Identifier
1326040254
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
02001363 Issued in IN
Practice address
5445 E 16TH St
Indianapolis, IN 46218-4869
Phone
(317) 355-4358
Fax
(317) 351-2428
NPI assigned
Aug 11, 2005
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 02001363 IN Primary
Pain Medicine Physician 208VP0000X 02001363A IN

Addresses

Primary practice location

5445 E 16TH St
Indianapolis, IN 46218-4869

Mailing address

PO Box 3056
Indianapolis, IN 46206-3056
Phone (317) 567-2180

Other identifiers 2

IdentifierTypeStateIssuer
100324960MedicaidIN
000000373172OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001363AINMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mina Swofford, M.D. P.C CurrentSince Sep 1, 2010 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2101 Jackson St
Ste 205
Anderson, IN 46016
Phone (765) 683-3160

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1326040254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3056",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063056",
            "telephone_number": "317-567-2180",
            "fax_number": "317-567-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 E 16TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462184869",
            "telephone_number": "317-355-4358",
            "fax_number": "317-351-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOFFORD",
        "first_name": "JOHN",
        "middle_name": "BARNETT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "02001363",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "02001363A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100324960",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000373172",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.