Active NPI
John Barnett Swofford, D.O.
- Pain Medicine (Anesthesiology) Physician
- Indianapolis, IN
National Provider Identifier
1326040254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 02001363
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100324960 | Medicaid | IN | |
| 000000373172 | Other | IN | ANTHEM |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001363A | IN | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mina Swofford, M.D. P.C | Current | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Indianapolis, IN
- NPI 1982648762
-
- Dermatology Physician
- Anderson, IN
- NPI 1326250499
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.