NPIMap

Individual provider Active NPI

David Keith Swain Jr., DPM

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1528228913
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 3384 Issued in FL
Practice address
7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954
Phone
(904) 642-0877
Fax
(904) 642-0785
NPI assigned
Jun 10, 2008
Last updated
Oct 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 3384 FL Primary

Addresses

Primary practice location

7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6954

Mailing address

PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 642-0877

Other identifiers 1

IdentifierTypeStateIssuer
009573900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090825000110 FL Practitioner - Podiatry 4183778244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7011 A C Skinner Pkwy
Suite 160
Jacksonville, FL 32256-6953
Phone (904) 493-3333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40
Cost
81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue610
Removal of skin lesions1-10
Removal of nail tissue21
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3384FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Cardiovascular Institute LLC CurrentSince Oct 1, 2013 Accepting new patients
First Coast Cardiovascular Institute, LLC CurrentSince Oct 1, 2013 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Past Accepting new patients

Locations

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

5851 Timuquana Rd
Ste 204
Jacksonville, FL 32210

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

Interoperability endpoints

  • Direct secure messaging: david.swain@fcci.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1528228913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551308",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551308",
            "telephone_number": "904-642-0877",
            "fax_number": "904-642-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 A C SKINNER PKWY",
            "address_2": "SUITE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566954",
            "telephone_number": "904-642-0877",
            "fax_number": "904-642-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 3384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009573900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.