Swift Creek Children'S Healthcare Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SWIFT CREEK CHILDREN'S HEALTHCARE CORPORATION

Doing business as

Swift Creek Pediatrics

Practice address

13700 St Francis Blvd
Suite 501
Midlothian, VA 23114-3222

Phone

(804) 378-4420

Fax

(804) 378-4440

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Debra K Cantor, MD

Title

President

Phone

(804) 378-4420

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Swift Creek Pediatrics Doing business as

Locations

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1497714125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 501",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-378-4420",
            "fax_number": "804-378-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 ST FRANCIS BLVD",
            "address_2": "SUITE 501",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143222",
            "telephone_number": "804-378-4420",
            "fax_number": "804-378-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT CREEK CHILDREN'S HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "CANTOR",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-378-4420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C09185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CANTOR NPI",
            "identifier": "1700855624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BANTLE NPI",
            "identifier": "1417906801",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swift Creek Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Sutter, AU.D.
• Aubrey Suykerbuyk, RBT
• Ernest Swartz, M.S.W., L.C.S.W.
• Paul Sweeney
• Quin Sweeney, NP
• Swift Creek Day Center, LLC
• Swift Creek Eye Center, PC
• Sarah Jayne Switzer, PA-C
• Sycamore Family Dentistry
• Amber Reynolds Sykes, P.A.

• Pediatrics Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.