Individual provider Active NPI

Tara Marie McSwigan, PA-C

  • Medical Physician Assistant
  • Sewickley, PA
National Provider Identifier
1588657936
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA-050623 Issued in PA
Practice address
720 Blackburn Rd
Sewickley, PA 15143-1459
Phone
(412) 749-7076
NPI assigned
Aug 31, 2005
Last updated
May 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA-050623 PA Primary

Addresses

Primary practice location

720 Blackburn Rd
Sewickley, PA 15143-1459

Mailing address

179 Cimarron Dr
Coraopolis, PA 15108-9642
Phone (724) 457-8668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050316000345 PA Practitioner - Physician Assistant 7911952668 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA-050623PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Apr 11, 2015 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Apr 11, 2015 Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

Interoperability endpoints

  • Direct secure messaging: tmcswigan20838@gohealthupmc.direct-ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1588657936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 CIMARRON DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151089642",
            "telephone_number": "724-457-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-749-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWIGAN",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA-050623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.