Individual provider Active NPI

John T Swan, M.D.

  • Gastroenterology Physician
  • San Antonio, TX
National Provider Identifier
1366436032
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F7214 Issued in TX
Practice address
5223 Hamilton Wolfe Rd
San Antonio, TX 78229-4463
Phone
(210) 614-1234
Fax
(210) 614-0952
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X F7214 TX Primary

Addresses

Primary practice location

5223 Hamilton Wolfe Rd
San Antonio, TX 78229-4463

Mailing address

8415 Datapoint Dr Ste 700
San Antonio, TX 78229-3327
Phone (210) 614-1234

Other practice location 1

855 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 614-1234

Other practice location 2

12850 Toepperwein Rd
Live Oak, TX 78233-4115
Phone (210) 614-1234

Other identifiers 2

IdentifierTypeStateIssuer
046875301MedicaidTX
88A652OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100726000072 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 7810029964 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients
Gcsa Anesthesia PLLC Past Accepting new patients

Locations

4370 Medical Arts Dr
Ste 295
Flower Mound, TX 75028
Phone (972) 691-3777

12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

8415 Datapoint Dr
Ste 700
San Antonio, TX 78229

855 Proton Rd
San Antonio, TX 78258
Phone (210) 582-8000

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366436032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293327",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 HAMILTON WOLFE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294463",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Proton Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584203",
            "country_code": "US",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12850 Toepperwein Rd",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782334115",
            "country_code": "US",
            "telephone_number": "210-614-1234",
            "fax_number": "210-614-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F7214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046875301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88A652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.