Active NPI
Roland Sweatman, MD
- General Practice Physician
- Missoula, MT
National Provider Identifier
1497012009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4232
- Practice address
- 1410 Stanley St
Missoula, MT 59802-3312 - Phone
- (406) 721-0115
- NPI assigned
- Apr 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4232 | MT | Primary |
Addresses
Primary practice location
1410 Stanley St
Missoula, MT 59802-3312
Mailing address
255 Swamp Creek Loop Road
Trout Creek, MT 59874-9552
Phone (406) 827-8787
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4232 | MT | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1497012009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SWAMP CREEK LOOP ROAD",
"city": "TROUT CREEK",
"state": "MT",
"postal_code": "598749552",
"telephone_number": "406-827-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 STANLEY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598023312",
"telephone_number": "406-721-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEATMAN",
"first_name": "ROLAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MT",
"license": "4232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.