Active NPI
Amy E Swift-Johnson, M.D.
- Family Medicine Physician
- Burlington, WI
National Provider Identifier
1679630297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52462
- Practice address
- 248 McHenry St
Burlington, WI 53105-1828 - Phone
- (262) 767-8000
- Fax
- (262) 767-8190
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.122393 | IL | |
| Family Medicine Physician | 207Q00000X | 52462 | WI | Primary |
Addresses
Primary practice location
248 McHenry St
Burlington, WI 53105-1828
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (262) 767-8000
Other practice location 1
300 N Milwaukee Ave
Lake Villa, IL 60046-8563
Phone (847) 356-6634
Other practice location 2
4320 67th Dr
Union Grove, WI 53182-9338
Phone (262) 878-1211
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 |
|---|---|---|---|
| 036.122393 | IL | MD | Family Medicine Physician |
| 52462 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waukegan Clinic Corp | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586995200000",
"number": "1679630297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "262-767-8000",
"fax_number": "262-767-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 MCHENRY ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051828",
"telephone_number": "262-767-8000",
"fax_number": "262-767-8190"
}
],
"practiceLocations": [
{
"address_1": "300 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Lake Villa",
"state": "IL",
"postal_code": "600468563",
"country_code": "US",
"telephone_number": "847-356-6634",
"fax_number": "847-356-7264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4320 67th Dr",
"address_purpose": "LOCATION",
"city": "Union Grove",
"state": "WI",
"postal_code": "531829338",
"country_code": "US",
"telephone_number": "262-878-1211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWIFT-JOHNSON",
"first_name": "AMY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2020-04-16",
"certification_date": "2020-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.122393",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "52462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, WI
- Anne C Strange, APNP
- Scott Street, PTA
- Jeannie Marie Stroh, MS, CCC-SLP
- Debra Jean Studey Leffelman, LM
- James Edward Subrod, SAC
- Karen Swiggett
- Erin Marie Tauscher, M.S. OTR/L
- David L Taylor, MD
- Ted N Teberg, PT
- The Bay at Burlington Health and Rehabilitation LLC (Burlington Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.