Individual provider Active NPI

Philip John Swink, PA-C

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1518402098
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9883370-1206 Issued in UT
Practice address
650 E 4500 S Ste 100
Murray, UT 84107-4536
Phone
(801) 281-0027
NPI assigned
Dec 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9883370-1206 UT Primary

Addresses

Primary practice location

650 E 4500 S Ste 100
Murray, UT 84107-4536

Mailing address

PO Box 1369
Bountiful, UT 84011-1369
Phone (801) 298-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413002543 UT Practitioner - Physician Assistant 6800172495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Utah Partners for HealthGroup PAC ID 8224262480, 9 clinicians

Practice addresses (Care Compare)

8446 S Harrison St
Midvale, UT 84047-3501
Phone (801) 417-0131

9103 S 1300
Suite 102
West Jordan, UT 84088-6709
Phone (801) 417-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Partners for Health CurrentSince Feb 22, 2022 Accepting new patients

Locations

7651 S Main St
Midvale, UT 84047
Phone (801) 255-5814

8446 S Harrison St
Midvale, UT 84047
Phone (801) 417-0131

9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070

Interoperability endpoints

  • Direct secure messaging: philip.swink@upfh.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1518402098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840111369",
            "telephone_number": "801-298-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E 4500 S STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074536",
            "telephone_number": "801-281-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINK",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "9883370-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.