Magnolia Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2952 Issued in WV

Legal business name

MAGNOLIA FAMILY MEDICINE, PLLC

Practice address

3 Ceritos Trail
Martinsburg, WV 25403-0300

Phone

(304) 267-6249

Fax

(304) 267-6248

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jason Bryce Swalm, D.O.

Title

Sole Member

Phone

(304) 267-6249

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1598212185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CERITOS TRAIL",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254030300",
            "telephone_number": "304-267-6249",
            "fax_number": "304-267-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CERITOS TRAIL",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254030300",
            "telephone_number": "304-267-6249",
            "fax_number": "304-267-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "SWALM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "304-267-6249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962745950",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sybil Mackall, SLP
• Steven Mackenzie
• Amyah Mackey
• Meredith 'Molly' J Magness, AU.D
• Bridget D. Magnetti, PHD
• Zahra Mahmood, MD
• Patricia Mahoney, MD
• Patrick Gibson Maiberger, MD
• Deborah Maiorano, LPC
• Joshua Malatt

• Family Medicine Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.