Active NPI
Deborah Lynn Swift, MD
- Obstetrics Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 036093309
- Practice address
- 1860 Pennsylvania Ave
Suite 310
Fairfield, CA 94533-3590 - Phone
- (707) 646-4166
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 036093309 | IL | Primary |
Addresses
Primary practice location
1860 Pennsylvania Ave
Suite 310
Fairfield, CA 94533-3590
Mailing address
PO Box 581777
Elk Grove, CA 95758-0030
Phone (847) 721-6887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036093309 | Medicaid | IL |
Other names 1
- Dr. Deborah Lynn Wollard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093309 | IL | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Manatee PA | Current | Accepting new patients | |
| DHP of California Medical Group Inc | Current | Accepting new patients | |
| DHP of Northbay Medical Group Inc | Past | Accepting new patients | |
| Fairfield on-Call Specialists PC | Past | Accepting new patients | |
| Central California Inpatient Physicians | Past | Accepting new patients |
Locations
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Obstetrics & Gynecology Physician
- Stockton, CA
- NPI 1679836084
-
- Surgery Physician
- Napa, CA
- NPI 1255579421
-
- Surgery Physician
- Fairfield, CA
- NPI 1336404557
-
- Obstetrics & Gynecology Physician
- Fairfield, CA
- NPI 1588849491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1477660256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581777",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957580030",
"telephone_number": "847-721-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 PENNSYLVANIA AVE",
"address_2": "SUITE 310",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333590",
"telephone_number": "707-646-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIFT",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "IL",
"license": "036093309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036093309",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "WOLLARD",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.