Active NPI
Willis Lee Swygart, R.C.S
- Sonography Specialist/Technologist Cardiovascular
- Saint Paul, MN
National Provider Identifier
1376773507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 63270
- Practice address
- 859 Gabriel Rd
Saint Paul, MN 55119-5602 - Phone
- (952) 240-3081
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 63270 | MN | Primary |
Addresses
Primary practice location
859 Gabriel Rd
Saint Paul, MN 55119-5602
Mailing address
859 Gabriel Rd
Saint Paul, MN 55119-5602
Phone (952) 240-3081
Other names 1
- Mr. Willie Lee Swygart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63270 | MN | MD | Sonography Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1376773507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 GABRIEL RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195602",
"telephone_number": "952-240-3081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 GABRIEL RD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551195602",
"telephone_number": "952-240-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWYGART",
"first_name": "WILLIS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "R.C.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "MN",
"license": "63270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIE",
"last_name": "SWYGART",
"middle_name": "LEE",
"prefix": "MR.",
"credential": "R.C.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.