Organization Active NPI

Linda D Swartz MD Inc

  • Specialist
  • Poulsbo, WA
National Provider Identifier
1417090085
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0027418 Issued in WA
Legal business name
LINDA D SWARTZ MD INC
Practice address
20730 Bond Rd NE Ste 201
Poulsbo, WA 98370-9000
Phone
(360) 697-4557
Fax
(360) 697-4007
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Linda Diane Swartz, M.D.NPI 1336211341
Title
President
Phone
(360) 697-4557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0027418 WA Primary

Addresses

Primary practice location

20730 Bond Rd NE Ste 201
Poulsbo, WA 98370-9000

Mailing address

20730 Bond Rd NE Suite #201
Poulsbo, WA 98370-9000
Phone (360) 697-4557

Other identifiers 1

IdentifierTypeStateIssuer
1057736MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1417090085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE SUITE #201",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-697-4557",
            "fax_number": "360-697-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 BOND RD NE STE 201",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709000",
            "telephone_number": "360-697-4557",
            "fax_number": "360-697-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA D SWARTZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-697-4557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "0027418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.