Active NPI
Jeffrey M Swalchick, M.D.
- Diagnostic Radiology Physician
- Melbourne, FL
National Provider Identifier
1447223458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME57090
- Practice address
- 1350 S Hickory St
Holmes Regional Medical Center/Radiology
Melbourne, FL 32901-3224 - Phone
- (321) 434-7313
- Fax
- (321) 434-7238
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME57090 | FL | Primary |
Addresses
Primary practice location
1350 S Hickory St
Holmes Regional Medical Center/Radiology
Melbourne, FL 32901-3224
Mailing address
PO Box 2400
Melbourne, FL 32902-2400
Phone (321) 434-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375813300 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57090 | FL | MD | Other Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Space Coast Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Morgan Medical Corp | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Diagnostic Radiology Physician
- Titusville, FL
- NPI 1679566756
-
- Diagnostic Radiology Physician
- Titusville, FL
- NPI 1396794566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1447223458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329022400",
"telephone_number": "321-434-4600",
"fax_number": "321-259-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S HICKORY ST",
"address_2": "HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "321-434-7313",
"fax_number": "321-434-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWALCHICK",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME57090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375813300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.