Old Town Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLD TOWN FAMILY PRACTICE PA

Practice address

413 W. Bethel Rd
Ste 300
Coppell, TX 75019-4402

Phone

(972) 393-4726

Fax

(972) 393-4850

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Steven A. Swaldi, M.D.NPI 1639150535

Title

Physician Owner

Phone

(972) 393-4726

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18461/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Steven A. Swaldi, MD

  • Family Medicine Physician
  • Coppell, TX
  • NPI 1639150535
  Medicare reassignment Authorized official
• Priscilla Louise Petrash, P.A.-C

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1427486646
  Medicare reassignment
• Lori T Swaldi, DPT

  • Physical Therapist
  • Marion Heights, PA
  • NPI 1962510941
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1487757571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W. BETHEL RD",
            "address_2": "STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194402",
            "telephone_number": "972-393-4726",
            "fax_number": "972-393-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W. BETHEL RD",
            "address_2": "STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194402",
            "telephone_number": "972-393-4726",
            "fax_number": "972-393-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "SWALDI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "972-393-4726",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Folashade Oduleye
• Stephanie Okeke, APRN
• Ikechukwu Henry Okolocha, FNP
• Peter Benedict Crujido Olario
• Kayode Olatunji, NP
• Marybeth Oliva, OTR/L
• Valerie Leanett Olivero Belcher
• Susan Olukoga, PHARM.D, MBA
• Omni Tech Inc.
• Omnitech Healthcare

• Family Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.