Individual provider Active NPI

Colleen F Swayze, MD

  • Obstetrics & Gynecology Physician
  • Fairfield, OH
National Provider Identifier
1457300063
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35071962 Issued in OH
Practice address
3050 Mack Rd
Ste 375
Fairfield, OH 45014-5378
Phone
(513) 221-3800
Fax
(513) 682-4528
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35071962 OH Primary

Addresses

Primary practice location

3050 Mack Rd
Ste 375
Fairfield, OH 45014-5378

Mailing address

3050 Mack Rd
Ste 375
Fairfield, OH 45014-5378
Phone (513) 221-3800

Other identifiers 1

IdentifierTypeStateIssuer
2117435MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CSwayze@ogai.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35071962OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Institute for Integrative Medicine, LLC PastSince Jan 1, 2006 Accepting new patients
University of Cincinnati Physicians Company, LLC Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cswayze@ogai.gwaydirect.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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1457300063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "STE 375",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145378",
            "telephone_number": "513-221-3800",
            "fax_number": "513-682-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 MACK RD",
            "address_2": "STE 375",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145378",
            "telephone_number": "513-221-3800",
            "fax_number": "513-682-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAYZE",
        "first_name": "COLLEEN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35071962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117435",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CSwayze@ogai.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "EHR direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3050 Mack Rd",
            "address_2": "Ste 375",
            "city": "Fairfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450145378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.