Individual provider Active NPI

Susan Lee Swope, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1346276094
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
115598 Issued in MO
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

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090903000431 MO Practitioner - Internal Medicine 7012062623 Reassigns benefits to 1 organization
Practice locations: Fenton, MO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115598MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Aug 1, 2016 Accepting new patients
Susan Swope, MD Internal Medicine PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.