Individual provider Active NPI

Shanon G Schwimmer, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1477580629
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L0577 Issued in TX
Practice address
7557 Rambler Rd
Suite 706
Dallas, TX 75231-2320
Phone
(214) 369-0800
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L0577 TX Primary

Addresses

Primary practice location

7557 Rambler Rd
Suite 706
Dallas, TX 75231-2320

Mailing address

PO Box 650002
Dept 8011
Dallas, TX 75265-0002

Other identifiers 1

IdentifierTypeStateIssuer
040238004MedicaidTX

Other names 1

  • Shanon Smith Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1477580629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650002",
            "address_2": "DEPT 8011",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 RAMBLER RD",
            "address_2": "SUITE 706",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312320",
            "telephone_number": "214-369-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIMMER",
        "first_name": "SHANON",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L0577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040238004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANON",
            "last_name": "SMITH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.