Jay A Swedberg

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3305A Issued in WY

Practice address

6500 E 2ND St
Suite 200
Casper, WY 82609-4338

Phone

(307) 577-5100

Fax

(307) 234-1201

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jay.swedberg@direct.wyomingmedicalcenter.org

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.

• Life Care Physician Services, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cleveland, TN
  • NPI 1770807919

  WY

  Medicare reassignment NPD
• University of Wyoming

  • Federally Qualified Health Center (FQHC)
  • Cheyenne, WY
  • NPI 1770681439
  Medicare reassignment
• University of Wyoming

  • Federally Qualified Health Center (FQHC)
  • Casper, WY
  • NPI 1558657650

  Family Medicine

  NPD
• Glenrock Hospital District

  • Clinical Medical Laboratory
  • Glenrock, WY
  • NPI 1437294972
  NPD (past)
• University of Wyoming

  • Federally Qualified Health Center (FQHC)
  • Laramie, WY
  • NPI 1639617061

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1467450163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 E 2ND ST",
            "address_2": "SUITE 200",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094338",
            "telephone_number": "307-577-5100",
            "fax_number": "307-234-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 E 2ND ST",
            "address_2": "SUITE 200",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094338",
            "telephone_number": "307-577-5100",
            "fax_number": "307-234-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEDBERG",
        "first_name": "JAY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "3305A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "19719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104351000",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "314127",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "611665900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Swainston, MD
• Swan Anesthesiology PC
• Ryan Thomas Swan, M.D.
• Andrea Renee Swanson, M.S., LPC, NCC
• Brooklyn Swantek, DPT
• Emily Ann Sweet, PA-C
• Sweetwater Counseling
• Erika Swirzcki
• David C Sy, PHARMD
• Stephanie Lynn Sy, RPH

• Family Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.