Organization Active NPI

James L. Swingler M.D. Gynecology & Obstetrics S.C.

  • Obstetrics & Gynecology Physician
  • Peoria, IL
National Provider Identifier
1407153539
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036062855 Issued in IL
Legal business name
JAMES L. SWINGLER M.D. GYNECOLOGY & OBSTETRICS S.C.
Practice address
7501 N University St
Suite 113
Peoria, IL 61614-1222
Phone
(309) 692-0128
Fax
(309) 692-0193
NPI assigned
Feb 25, 2011
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. James Lee Swingler, M.D.
Title
Owner
Phone
(309) 692-0128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036062855 IL Primary

Addresses

Primary practice location

7501 N University St
Suite 113
Peoria, IL 61614-1222

Mailing address

7501 N University St
Suite 113
Peoria, IL 61614-1222
Phone (309) 692-0128

Other identifiers 2

IdentifierTypeStateIssuer
036062855MedicaidIL
7228140OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

7501 N University St
Ste 11
Peoria, IL 61614

7501 N University St
Ste 113
Peoria, IL 61614
Phone (309) 692-0072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1407153539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST",
            "address_2": "SUITE 113",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-692-0128",
            "fax_number": "309-692-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST",
            "address_2": "SUITE 113",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-692-0128",
            "fax_number": "309-692-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. SWINGLER M.D. GYNECOLOGY & OBSTETRICS S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "SWINGLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-692-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036062855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062855",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "7228140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.