Active NPI
Mitchell K Schwaber, MD
- Otology & Neurotology Physician
- Nashville, TN
National Provider Identifier
1629050372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- MD13485
- Practice address
- 4230 Harding Rd
Suite 400
Nashville, TN 37205-2013 - Phone
- (615) 297-2700
- Fax
- (615) 386-2197
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | MD13485 | TN | Primary |
Addresses
Primary practice location
4230 Harding Rd
Suite 400
Nashville, TN 37205-2013
Mailing address
104 Woodmont Blvd
Suite LL-50
Nashville, TN 37205-2245
Phone (615) 386-2300
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30228621 | Medicaid | TN | |
| 4067886 | Other | TN | AETNA |
| 10604176 | Other | CIGNA | |
| 4166594 | Other | TN | BCBS OF TN |
| TN0138 | Other | TN | AMERICHOICE |
| 01159184 | Other | TN | AMERIGROUP |
| 6479027200 | Medicaid | KY | |
| 259244 | Other | USA MANAGED CARE | |
| 1506114 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13485 | TN | MD | Otology & Neurotology Physician |
| 13485 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Thomas Medical Group PLLC | Past | Accepting new patients | |
| Southeastern Ear, Nose & Throat | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBFIAA
Organizations & group practices 2
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.
-
- Specialist
- Nashville, TN
- NPI 1437216256
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1467472258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1629050372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODMONT BLVD",
"address_2": "SUITE LL-50",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052245",
"telephone_number": "615-386-2300",
"fax_number": "615-386-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING RD",
"address_2": "SUITE 400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052013",
"telephone_number": "615-297-2700",
"fax_number": "615-386-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWABER",
"first_name": "MITCHELL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "TN",
"license": "MD13485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30228621",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4067886",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10604176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4166594",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "TN0138",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01159184",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6479027200",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "259244",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506114",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.