Individual provider Active NPI

Robert Luther Swicord, M.D.

  • Occupational Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1417120023
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
21096 Issued in OK
Practice address
14300 N Pennsylvania Ave
# 57
Oklahoma City, OK 73134-6066
Phone
(405) 748-4418
NPI assigned
Apr 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 21096 OK Primary
Occupational Medicine Physician 2083X0100X 032480 GA

Addresses

Primary practice location

14300 N Pennsylvania Ave
# 57
Oklahoma City, OK 73134-6066

Mailing address

14300 N Pennsylvania Ave
# 57
Oklahoma City, OK 73134-6066
Phone (405) 748-4418

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032480GAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectra Family Medical Clinic LLC Past Accepting new patients
Prairie Gardens Medical LLC PastSince Jun 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.swicord.1@17628.direct.athenahealth.com

Organizations & group practices 2

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": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1417120023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE",
            "address_2": "# 57",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346066",
            "telephone_number": "405-748-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N PENNSYLVANIA AVE",
            "address_2": "# 57",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346066",
            "telephone_number": "405-748-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWICORD",
        "first_name": "ROBERT",
        "middle_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OK",
            "license": "21096",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "032480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.