Swetnam Cosmetic Surgery, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SWETNAM COSMETIC SURGERY, PLLC

Doing business as

Swetnam Cosmetic Surgery, PLLC

Practice address

1695 E Rainforest Rd Ste 3
Fayetteville, AR 72703-5385

Phone

(479) 966-4174

Fax

(479) 301-2516

NPI assigned

Aug 16, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Char Wells

Title

Practice Administrator

Phone

(479) 966-4174

Specialties & licenses 1

Addresses

Other names 1

• Swetnam Cosmetic Surgery, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Jeffrey Allen Swetnam, MD

  • Surgery Physician
  • Springdale, AR
  • NPI 1326022534
  Medicare reassignment NPD

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1477033728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 E RAINFOREST RD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035385",
            "telephone_number": "479-966-4174",
            "fax_number": "479-301-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 E RAINFOREST RD STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035385",
            "telephone_number": "479-966-4174",
            "fax_number": "479-301-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWETNAM COSMETIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CHAR",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "479-966-4174",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swetnam Cosmetic Surgery, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara M Swearingen, PHARMD
• Venus A Swearingen, MD
• Tyler Sweat
• Wendy Sweeney
• Kirby Sweet
• Michael Anthony Swiercz, MD
• James S. Swindle, M.D.
• Willliam F Symes Jr., M.DIV.,LPC
• Synchronicity Group, LLC
• Jewel Tabron

• Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.