Charles M. Swaney, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R2G66 Issued in MO

Practice address

1502 E Broadway
Suite 210
Columbia, MO 65201-8076

Phone

(573) 443-4591

Fax

(573) 874-1369

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1477540458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E BROADWAY",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018076",
            "telephone_number": "573-443-4591",
            "fax_number": "573-874-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E BROADWAY",
            "address_2": "SUITE 210",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018076",
            "telephone_number": "573-443-4591",
            "fax_number": "573-874-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANEY",
        "first_name": "CHARLES",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R2G66",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202739033",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L Sutherland, MED
• Robert Sutter, O.D.
• Maria Luisa Suzzarini Torrealba, IBCLC
• Kristi Sveum, MSW, LCSW
• Pavel Svintozelsky, MD
• Rebecca Jan Swaney, MD
• Tanner Leeann Swanigan
• Mitchell E Swee, ATC
• Beth A Sweeney, FNP
• Michael Sweeney

• Diagnostic Radiology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.