Active NPI
Susan Lee Swope, MD
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1346276094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 115598
- Practice address
- 5701 Delmar Blvd.
Saint Louis, MO 63112-2617 - Phone
- (314) 367-7848
- Fax
- (314) 367-2985
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 115598 | MO | Primary |
Addresses
Primary practice location
5701 Delmar Blvd.
Saint Louis, MO 63112-2617
Mailing address
5701 Delmar Blvd.
Saint Louis, MO 63112-2617
Phone (314) 367-7848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115598 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Susan Swope, MD | Internal Medicine | Past | Accepting new patients |
| Robert D. Tague MD PC | Past | Accepting new patients | |
| Metro Treatment of Missouri LP | Past | Accepting new patients |
Locations
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1801817416
-
- Internal Medicine Physician
- Fenton, MO
- NPI 1376579037
-
- Methadone Clinic
- Saint Charles, MO
- NPI 1538658380
-
- Primary Care Clinic/Center
- Saint Louis, MO
- NPI 1679760904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1346276094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 DELMAR BLVD.",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122617",
"telephone_number": "314-367-7848",
"fax_number": "314-367-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 DELMAR BLVD.",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631122617",
"telephone_number": "314-367-7848",
"fax_number": "314-367-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWOPE",
"first_name": "SUSAN",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "115598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.