Paul Richard Swoboda, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2019-0734 Issued in NM

Practice address

9101 Montgomery Blvd., NE
Montgomery East Family Medicine
Albuquerque, NM 87111

Phone

(505) 275-4288

Fax

(505) 275-4203

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Salt Lake Family Health CNTR

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1417066176
  NPD (past) Authorized official
• Optumcare Endoscopy Center New Mexico, LLC

  dba DaVita Medical Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1962685834
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1598898363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "address_2": "CLINICIAN SERVICES / CREDENTIALING",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-262-7963",
            "fax_number": "505-232-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 MONTGOMERY BLVD., NE",
            "address_2": "MONTGOMERY EAST FAMILY MEDICINE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-275-4288",
            "fax_number": "505-275-4203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "02481",
            "country_code": "US",
            "telephone_number": "781-237-3395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 Main St",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024525516",
            "country_code": "US",
            "telephone_number": "781-693-3800",
            "fax_number": "781-693-3817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "02481",
            "country_code": "US",
            "telephone_number": "781-237-3395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "02481",
            "country_code": "US",
            "telephone_number": "781-237-3395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 Walnut St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "02481",
            "country_code": "US",
            "telephone_number": "781-237-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWOBODA",
        "first_name": "PAUL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "356087-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "79259",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Storm Swinford
• Alyssa Marie Swisher, FNP-BC
• Gabrielle V Swisher, PHD
• Jennifer Swisher, PHARMD
• Lauren Swisher
• Laura L Swofford, LMFT
• Kimberly Swope
• Munnaza Syed Siddiqui
• Muhammad Ali Syed
• Mushtaq Syed

• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.