Active NPI
Peter a Swaby DO LLC
- Internal Medicine Physician
- Bowie, MD
National Provider Identifier
1417081043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H0052843
- Legal business name
- PETER A SWABY DO LLC
- Practice address
- 4000 Mitchellville Rd
Suite 422
Bowie, MD 20716-3104 - Phone
- (301) 809-6206
- Fax
- (301) 809-6225
- NPI assigned
- Mar 15, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eno Y Inyangswaby, HEALTH ADMIN
- Title
- Office Manager
- Phone
- (301) 809-6206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H0052843 | MD | Primary |
Addresses
Primary practice location
4000 Mitchellville Rd
Suite 422
Bowie, MD 20716-3104
Mailing address
4000 Mitchellville Rd
Suite 422
Bowie, MD 20716-3104
Phone (301) 809-6206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698302200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3038 Mitchellville Rd
Ste 104
Bowie, MD 20716
Phone (301) 809-6206
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417081043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD",
"address_2": "SUITE 422",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163104",
"telephone_number": "301-809-6206",
"fax_number": "301-809-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MITCHELLVILLE RD",
"address_2": "SUITE 422",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163104",
"telephone_number": "301-809-6206",
"fax_number": "301-809-6225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER A SWABY DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "INYANGSWABY",
"authorized_official_first_name": "ENO",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-809-6206",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "HEALTH ADMIN"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0052843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "698302200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.